Provider Demographics
NPI:1790119568
Name:BJORNN, BRIA ELIZABETH
Entity Type:Individual
Prefix:MISS
First Name:BRIA
Middle Name:ELIZABETH
Last Name:BJORNN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2655 MARTIN LUTHER KING JR BLVD
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-5899
Mailing Address - Country:US
Mailing Address - Phone:541-682-7986
Mailing Address - Fax:541-682-7980
Practice Address - Street 1:2655 MARTIN LUTHER KING JR BLVD
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-5899
Practice Address - Country:US
Practice Address - Phone:541-682-7986
Practice Address - Fax:541-682-7980
Is Sole Proprietor?:No
Enumeration Date:2013-08-28
Last Update Date:2013-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor