Provider Demographics
NPI:1053813758
Name:MYERS, JAMIE (CADC I, CRM, PSS)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:
Last Name:MYERS
Suffix:
Gender:F
Credentials:CADC I, CRM, PSS
Other - Prefix:
Other - First Name:JAMIE
Other - Middle Name:
Other - Last Name:BARTOSZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:685 SE 3RD ST
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97702-1754
Mailing Address - Country:US
Mailing Address - Phone:541-668-9070
Mailing Address - Fax:
Practice Address - Street 1:685 SE 3RD ST
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97702-1754
Practice Address - Country:US
Practice Address - Phone:541-617-7365
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-08
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR25-QMHA-R-6536101YM0800X
OR17-CRM-235175T00000X
ORT-24-3930101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No175T00000XOther Service ProvidersPeer Specialist