Bjornstad, Lisa J

Bjornstad, Lisa J is an individual health care provider with primary practice located at 530 Nw 27Th St , Corvallis OR 97330-5223. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Bjornstad, Lisa J can be contacted via phone (541) 766-6835.

Contact Information

Primary practice address
530 Nw 27Th St Corvallis OR 97330-5223
Phone: (541) 766-6835
Fax: (541) 766-6186
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 99-03-21 Oregon
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X R1900 (INTERN) Oregon

Profile Details

NPI number 1841358025
LBN Legal business name Bjornstad, Lisa J
Credentials CADC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2006
Last updated Jan 11th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841358025 NPPES
Oregon Other 99-03-21 CERTIFIED A&D COUNSELOR

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