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NPI Code Detail

MEDICARE: JAMIE MYERS CADC I, CRM, PSS

MEDICARE: JAMIE MYERS CADC I, CRM, PSS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor25-QMHA-R-6536OR
2175T00000XPeer Specialist17-CRM-235OR
3101YA0400XAddiction (Substance Use Disorder) CounselorT-24-3930OR

General Provider Information

NPI Number : 1053813758
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMIE MYERS CADC I, CRM, PSS
Provider Business Mailing Address
First Line : 685 SE 3RD ST
Second Line :
City : BEND
State : OR
Zip : 97702-1754
Country : US
Telephone Number : 541-668-9070
Fax Number :
Provider Business Practice Location Address
First Line : 685 SE 3RD ST
Second Line :
City : BEND
State : OR
Zip : 97702-1754
Country : US
Telephone Number : 541-617-7365
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2018
Last Update Date : 04/17/2025

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