MEDICARE: JAMES M. BRIGGS & ASSOCIATES, PC

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
1	251B00000X	Case Management Agency	STB-T-10129452	OR

General Provider Information

NPI Number	:	1598093809
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAMES M. BRIGGS & ASSOCIATES, PC

Provider Business Mailing Address
First Line	:	2290 STATE ST
Second Line	:
City	:	SALEM
State	:	OR
Zip	:	97301-4516
Country	:	US
Telephone Number	:	503-930-7004
Fax Number	:	503-585-9642

Provider Business Practice Location Address
First Line	:	2290 STATE ST
Second Line	:
City	:	SALEM
State	:	OR
Zip	:	97301-4516
Country	:	US
Telephone Number	:	503-930-7004
Fax Number	:	503-585-9642

Authorized Official
Title or Position	:	PROGRAM DIRECTOR, CLINICALTHERAPIST
Name	:	MR. JAMES MEYER BRIGGS
Credential	:	MS, CCT
Telephone Number	:	503-930-7004

Provider Enumeration Date	:	11/24/2009
Last Update Date	:	11/24/2009

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