=====================================================
General NPI Number Information
=====================================================
NPI Number | 1538038179
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CJM CONSULTING LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/03/2025
-----------------------------------------------------
Last Update Date | 11/03/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 19319 7TH AVE NE STE 104
-----------------------------------------------------
City | POULSBO
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98370-7442
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 360-621-8981
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 14640 NW HONEYHILL LOOP
-----------------------------------------------------
City | SEABECK
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98380-9520
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 360-621-8981
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OCCUPATIONAL THERAPIST
-----------------------------------------------------
Name | COLLIER DANIELS HALL
-----------------------------------------------------
Credential | OTR/L
-----------------------------------------------------
Telephone | 360-621-8981
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225XP0200X
-----------------------------------------------------
Taxonomy Name | Pediatric Occupational Therapist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------