Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jordan Joseph Granata

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1366989030

Jordan Joseph Granata is a Student in an Organized Health Care Education/Training Program in Bend, Oregon. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
2

Practice location Address checks out

63311 Jamison St
Bend, OR 97703-8288
Phone: (541) 322-7500
Fax: (541) 322-7565
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1366989030
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 19, 2017
Last updated in NPPESNovember 27, 2024
Certification dateNovember 27, 2024

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