Agbonze, Osaretine
Agbonze, Osaretine is an individual health care provider with primary practice located at 121 Sw Salmon St Fl 11 , Portland OR 97204-2908. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Agbonze, Osaretine can be contacted via phone (503) 464-7207.Contact Information
Primary practice address
121 Sw Salmon St Fl 11
Portland OR 97204-2908
Phone: (503) 464-7207
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | ABA-IN-10213741 | Oregon |
Profile Details
| NPI number | 1063093821 |
|---|---|
| LBN Legal business name | Agbonze, Osaretine |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 14th, 2021 |
| Last updated | Apr 14th, 2021 - about 4 years ago |
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 | 1063093821 | NPPES |
| Other | ABA-IN-10213741 | INDIVIDUAL |
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