Andersen, Ian

Andersen, Ian is an individual health care provider with primary practice located at 3494 Liberty Rd S , Salem OR 97302-4607. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Andersen, Ian can be contacted via phone (971) 304-0660.

Contact Information

Primary practice address
3494 Liberty Rd S Salem OR 97302-4607
Phone: (971) 304-0660
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1952955809
LBN Legal business name Andersen, Ian
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2019
Last updated Jul 30th, 2019 - about 6 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.

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