What is Jonathan Vanzandt's NPI number?

The NPI number assigned to this healthcare provider is 1154802783, enumerated as a individual on August 22, 2018.

Where is the provider located?

The provider is located at 58646 MCNULTY WAY SAINT HELENS, OR 97051 and the phone number is (503) 397-5211.

What is the provider's specialty?

The provider's specialty is Peer Specialist with taxonomy code 175T00000X.

JONATHAN RAY VANZANDT - NPI 1154802783 - Peer Specialist in Saint Helens, OR

On this page

About Jonathan Ray Vanzandt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONATHAN RAY VANZANDT (NPI 1154802783) is an individual peer specialist in Saint Helens, Oregon and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1154802783

Entity TypeIndividualMale

Primary Taxonomy175T00000X

Provider Legal NameJONATHAN RAY VANZANDT

Location Address58646 MCNULTY WAYSaint Helens, OR 97051-6210

Mailing AddressPo Box 1234Saint Helens, OR 97051-8234 · (503) 397-5211 · Fax (503) 397-5373

Phone(503) 397-5211

Fax(503) 397-5373

Sole ProprietorNo

Enumeration DateAugust 22, 2018

✔ NPI 1154802783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

58646 MCNULTY WAY, Saint Helens, OR 97051

Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. IRENE ANN HOLLAND RN, PMHNP

Nurse Practitioner (Psychiatric/Mental Health)