Provider Demographics
NPI:1518284306
Name:JAMES, NATALIE A (MS, NCC)
Entity Type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:A
Last Name:JAMES
Suffix:
Gender:F
Credentials:MS, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:62930 O B RILEY RD STE 300
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97703-9459
Mailing Address - Country:US
Mailing Address - Phone:541-280-7479
Mailing Address - Fax:541-323-3505
Practice Address - Street 1:62930 O B RILEY RD STE 300
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97703-9459
Practice Address - Country:US
Practice Address - Phone:541-280-7479
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-03
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR129083101YS0200X
101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool