Anderson, Jessica Lee

Anderson, Jessica Lee is an sole proprietor health care provider with primary practice located at 211 Ne 18Th Ave , Portland OR 97232-2822. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Anderson, Jessica Lee can be contacted via phone (503) 505-2925.

Contact Information

Primary practice address
211 Ne 18Th Ave Portland OR 97232-2822
Phone: (503) 505-2925
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X T-23-2940 Oregon

Profile Details

NPI number 1518721315
LBN Legal business name Anderson, Jessica Lee
Credentials CACD-R
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 12th, 2024
Last updated Feb 12th, 2024 - about 10 months 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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