MR. ANTHONY DOUGLAS DEJESUS


Address: 4305 Ne Thurston Way Ste E, Vancouver, WA 98662-6655
Phone: 3602131216

MR. ANTHONY DOUGLAS DEJESUS (NPI# 1871140350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871140350
Entity Type Individual
Full Name MR. ANTHONY DOUGLAS DEJESUS
Credential SUDPT
Practice Address 4305 Ne Thurston Way Ste E
Vancouver
WA 98662-6655
Mailing Address 16203 Ne 32nd St
Vancouver
WA 98682-3674
Practice Telephone 3602131216
Practice Fax Number 3602131267
Mailing Telephone 3479882161
Enumeration Date 2019-08-20
Last Update Date 2019-08-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
CO60778717 WA Behavioral Health & Social Service Providers

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NPI Name Taxonomy Address Enumeration
1891230264 Anthony Dejesus Counselor 770 Woodlane Rd, Westampton, NJ 08060-3804 2016-12-21

Office Location

Street Address 4305 NE THURSTON WAY STE E
City VANCOUVER
State WA
Zip Code 98662-6655

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861024911 Hillary Ann Devore Behavior Technician 9414 Ne Fouth Plain Road, Vancouver, WA 98662 2020-02-06
1073091781 Jessica Edit Villasenor Social Worker 9800 Ne Oakview Dr, Vancouver, WA 98662 2018-08-03
1568991123 Preferred Rx Pharmacy Inc Pharmacy 10303 Ne Fourth Plain Blvd Ste 109, Vancouver, WA 98662 2017-06-07
1982058814 Nw Interventional Medicine and Orthopedic Rehab Pllc Physician Assistant 11802 Ne 65th St., Vancouver, WA 98662 2016-04-18
1942685664 Silpa Nekkalapudi Dentist 11504 Ne 119th St, Suite 100, Vancouver, WA 98662 2015-07-23
1528468261 Lidiya Chepa Pharmacist 14505 Ne Fourth Plain Boulevard, Vancouver, WA 98662 2014-08-29
1962827030 Vanessa Wulff Chiropractor 6405 Ne 116th Ave Ste 106, Vancouver, WA 98662 2014-02-26
1326484080 Precious Jewel Adult Family Home Custodial Care Facility 9707 Ne 115th Ct, Vancouver, WA 98662 2013-05-21
1457698466 Elise C Jones Counselor 4400 Ne 77th Ave., Suite 275, Vancouver, WA 98662 2013-01-10
1396096103 At Home Sleep Solutions Clinic/Center 9330 Ne Vancouver Mall Dr., Suite 202, Vancouver, WA 98662 2012-09-20
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669012332 Beatriz Soto Martinez Counselor 6816 Ne 131st Ave Unit 128, Vancouver, WA 98682-4625 2020-01-10
1235793027 James Dostert Counselor 1601 E 4th Blvd. Bldg. 17, Ste A212, Vancouver, WA 98661 2019-04-26
1811460231 Matthew Mcelveen Counselor 4000 Ne 94th St, Vancouver, WA 98665-5313 2019-01-08
1164910840 Lucyann Kendall Counselor 4949 Ne St Johns Rd Apt 1, Vancouver, WA 98661-2536 2018-04-27
1609364413 Amanda Boden Counselor 12503 Se Mill Plain Blvd Ste 119a, Vancouver, WA 98684-4007 2018-04-26
1023505229 Ellen Barbour Counselor 1601 E 4th Plain Blvd Bldg. 17, Ste A212, Vancouver, WA 98661 2018-04-13
1922501998 Carl Albert Robinson Counselor 1601 E Fourth Plain Blvd Bldg 17b222, Vancouver, WA 98661-3713 2018-03-15
1891200531 Craig Goold Counselor 18908 Se 23rd St, Vancouver, WA 98683-9793 2017-12-04
1679096325 Brian Scott Coleman Counselor 1601 East Fourth Plain Blvd., Bldg #17, Ste. A212, Vancouver, WA 98661 2017-07-24
1386164176 Maureen Elizabeth Olivier-bagley Counselor 10117 Ne 14th Cir, Vancouver, WA 98664-3007 2017-06-22
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Competitor

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City VANCOUVER
Zip Code 98662

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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