Brue, K Jason
Brue, K Jason is an individual health care provider with primary practice located at 3425 13Th St , Baker City OR 97814-1340. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Brue, K Jason can be contacted via phone (541) 523-7400.Contact Information
Primary practice address
3425 13Th St
Baker City OR 97814-1340
Phone: (541) 523-7400
Fax: (541) 523-4927
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | Oregon | |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 19-QMHPC-00934 | Oregon |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | C8091 | Oregon |
Profile Details
NPI number | 1407207962 |
---|---|
LBN Legal business name | Brue, K Jason |
Credentials | Licensed Professional Counselor (LPC) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 27th, 2016 |
Last updated | May 6th, 2024 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1407207962 | NPPES |
Oregon | MEDICAID | 500719940 |
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