John Michael Dempsey
Individual provider Active NPI Behavior Technician · Sutherlin, OR
NPI 1164201570 · NPPES record last updated Sep 25, 2023
Key facts
- NPI
- 1164201570
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 444 S State St
Sutherlin, OR 97479-9853 - Phone
- (408) 829-6356
- NPI assigned
- Sep 25, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
444 S State St
Sutherlin, OR 97479-9853
Mailing address
444 S State St
Sutherlin, OR 97479-9853
Phone (801) 859-5951
Other providers in Sutherlin, OR
- Centennial Medical Group East, LLC
- City of Sutherlin
- Community Health Alliance
- Jessica Ladawn Corrington
- Christina Michele Cranley
- Deloy Lamar Dennis
- Lu A Deuel
- Katelyn Leigh Dion
- Sunflower Maree Downer
- Mark T Drentlaw
All providers in Sutherlin, OR · Behavior Technician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.