Provider Demographics
NPI:1649309196
Name:DELANEY, JAMES J SR (QMHA)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:J
Last Name:DELANEY
Suffix:SR
Gender:M
Credentials:QMHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:521 SW 10TH AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97205-2701
Mailing Address - Country:US
Mailing Address - Phone:503-969-9071
Mailing Address - Fax:
Practice Address - Street 1:521 SW 10TH AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97205-2701
Practice Address - Country:US
Practice Address - Phone:503-969-9071
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator