Provider Demographics
NPI:1881896322
Name:BORJESSON, DON R (LCSW)
Entity type:Individual
Prefix:
First Name:DON
Middle Name:R
Last Name:BORJESSON
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1365 HARRIER CT
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:OR
Mailing Address - Zip Code:97756-9219
Mailing Address - Country:US
Mailing Address - Phone:541-548-4260
Mailing Address - Fax:541-548-4260
Practice Address - Street 1:1365 HARRIER CT
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:OR
Practice Address - Zip Code:97756-9219
Practice Address - Country:US
Practice Address - Phone:541-548-4260
Practice Address - Fax:541-548-4260
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR01931041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical