MR. JEFFREY A CHRISTOPHERSEN


Address: 109 Nw Manzanita Ave, Grants Pass, OR 97526
Phone: 5414798847

MR. JEFFREY A CHRISTOPHERSEN (NPI# 1871968602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871968602
Entity Type Individual
Full Name MR. JEFFREY A CHRISTOPHERSEN
Credential CADC1, QMHA1
Practice Address 109 Nw Manzanita Ave
Grants Pass
OR 97526
Mailing Address 1215 Sw G St
Grants Pass
OR 97526-2544
Practice Telephone 5414798847
Practice Fax Number 5414712679
Mailing Telephone 5414762373
Mailing Fax Number 5414712679
Enumeration Date 2015-12-04
Last Update Date 2020-03-31
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
16-04-28 OR Behavioral Health & Social Service Providers

Office Location

Street Address 109 NW MANZANITA AVE
City GRANTS PASS
State OR
Zip Code 97526

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205476777 Kyla M Mccormick Peer Specialist 109 Nw Manzanita Avenue, Grants Pass, OR 97526 2020-01-13
1164076469 Alicia Yvonne Hansen Counselor 1055 Clarey St., Grants Pass, OR 97526 2019-07-25
1841842598 Michael Liam Reynolds, Dds, LLC Dentist 984 Ne 8th Street, Grants Pass Oregon, Grants Pass, OR 97526 2019-07-12
1881254746 Brandi Mccrorey Counselor 418 Ne 6th Street, Suite 102, Grants Pass, OR 97526 2019-06-13
1700364502 Premier Community Supports, LLC. Day Training, Developmentally Disabled Services 1439 Ne 6th St Ste C, Grants Pass, OR 97526 2018-08-02
1821584509 Stefani Mcintyre Massage Therapist 1590 Se N Street, Warehouse #1574, Grants Pass, OR 97526 2018-07-06
1114467438 Sandra P Martin Chiropractor 333 Sw 5th St. Suite B, Grants Pass, OR 97526 2017-03-06
1801347612 Maci Wageman Counselor 1215 Sw G St Grants Pass Oregon 97526, Grants Pass, OR 97526 2016-10-17
1902353907 Optimal Health of Southern Oregon, LLC Family Medicine 1600 Nw 6th St South Suite, Grants Pass, OR 97526 2016-09-07
1982150793 Tanya White Counselor 402 Nw Fstreet, Grants Pass, OR 97526 2016-08-31
Find all providers in zip 97526

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689275950 Amy Bailey Counselor 401 Marion Ln, Grants Pass, OR 97527-5570 2020-11-03
1346889615 Shawna A Valadez Counselor 109 N.e. Manzanita Avenue, Grants Pass, OR 97526-1400 2020-01-03
1033753314 Wade Counseling and Mentoring Services Counselor 232 Sw 6th St, Grants Pass, OR 97526-2406 2019-10-30
1881254746 Brandi Mccrorey Counselor 418 Ne 6th Street, Suite 102, Grants Pass, OR 97526 2019-06-13
1255822110 Pamela Dee Kelley Counselor 720 Nw 6th St, Grants Pass, OR 97526-1524 2018-05-25
1134639891 Stephanie Moore Counselor 418 Nw 6th St Ste 102, Grants Pass, OR 97526-2006 2017-10-09
1538603618 Michael Peter Higginbotham II Counselor 233 Ne B St Ste 201, Grants Pass, OR 97526-2108 2016-12-08
1376902825 James A Malan Counselor 324 Sw Ramsey, Grants Pass, OR 97527-5529 2016-02-12
1649649211 Carol L Stephens Counselor 109 N.e. Manzanita Ave, Grants Pass, OR 97526-1400 2015-09-24
1548654031 Tawnya Woodley Counselor 109 Ne Manzanita Avenue, Grants Pass, OR 97526-1400 2015-03-24
Find all providers in GRANTS PASS

Competitor

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City GRANTS PASS
Zip Code 97526

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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