Provider Demographics
NPI:1326407008
Name:VERMEYS, JULIANNA (MA, LPC, RYT)
Entity Type:Individual
Prefix:
First Name:JULIANNA
Middle Name:
Last Name:VERMEYS
Suffix:
Gender:F
Credentials:MA, LPC, RYT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:417 NE 52ND AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97213-3013
Mailing Address - Country:US
Mailing Address - Phone:503-307-3007
Mailing Address - Fax:
Practice Address - Street 1:4605 NE FREMONT ST.
Practice Address - Street 2:209A
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97213
Practice Address - Country:US
Practice Address - Phone:503-307-3007
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC4561101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional