DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JORDAN JOSEPH GRANATA

MEDICARE: JORDAN JOSEPH GRANATA
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
1390200000XStudent in an Organized Health Care Education/Training Program
2101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1366989030
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORDAN JOSEPH GRANATA
Provider Business Mailing Address
First Line : 2577 NE COURTNEY DR
Second Line :
City : BEND
State : OR
Zip : 97701-7752
Country : US
Telephone Number : 541-322-7500
Fax Number : 541-322-7565
Provider Business Practice Location Address
First Line : 63311 JAMISON ST
Second Line :
City : BEND
State : OR
Zip : 97703-8288
Country : US
Telephone Number : 541-322-7500
Fax Number : 541-322-7565
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2017
Last Update Date : 11/27/2024

Similar Medicare Providers

1073204632 — MATTHEW JARED GRAFFENBERGER QMHA
Practice Location Address:
63311 JAMISON ST
BEND, OR
97703-8288
Practice Phone: 541-322-7500
Practice Fax: 541-322-7565
1316364268 — MS. SUSAN LAURA DENIGHT MSW, CSWA
Practice Location Address:
63311 JAMISON ST
BEND, OR
97703-8288
Practice Phone: 541-322-7500
Practice Fax:
1902294176 — MAMA TOUT PUISSANT
Practice Location Address:
63311 JAMISON ST
BEND, OR
97703-8288
Practice Phone: 541-322-7500
Practice Fax:
1710374657 — TAYLOR MCGOWAN LCSW
Practice Location Address:
63311 JAMISON ST
BEND, OR
97703-8288
Practice Phone: 541-585-7210
Practice Fax:
1831578863 — BECKY LOUISE MASON LMT, PSS
Practice Location Address:
63311 JAMISON ST
BEND, OR
97703-8288
Practice Phone: 541-322-7500
Practice Fax: 541-322-7565
1063954782 — VICTORIA MAFFEO
Practice Location Address:
63311 JAMISON ST
BEND, OR
97703-8288
Practice Phone: 541-322-7500
Practice Fax: 541-322-7565

Directions to “ JORDAN JOSEPH GRANATA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.