JUDITH YADIRA BRACAMONTES QMHA-R NPI 1073293221

NPI Information

NPI: 1073293221
Provider Name: JUDITH YADIRA BRACAMONTES, QMHA-R
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
620 NE 2ND ST
GRESHAM, OR
ZIP 97030
Phone: (971) 274-3757
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Judith Yadira Bracamontes, QMHA-R is a mental health counselor in Gresham, OR. Judith Yadira Bracamontes, QMHA-R NPI is 1073293221. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

620 NE 2ND ST
GRESHAM, OR
ZIP 97030-514
Phone: (971) 274-3757
Fax: (503) 912-5740

The enumeration date for this NPI number is 7/21/2023 and was last updated on 8/30/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	23-QMHA-R-4302	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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