Doctor Name: | BETH R JAMES |
NPI Number: | 1003970294 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA,CADCIII |
License Number: | 01-03-17 |
Business Practice Address: | 21210 Nw Mauzey Rd Hillsboro, OR - 971249327 |
Business Phone Number: | 5034399531 |
Business Fax Number: | 5035313841 |
Mailing Address: | Po Box 82819, PORTLAND |
State: | OR |
Postal Code: | 972820819 |
Phone Number: | 5032335405 |
Fax Number: | 5032332696 |
NPI Enumeration Date: | 12/21/2006 |
NPI Last Update Date: | 01/15/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 01-03-17 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |