Ausubel, Joan Ellen

Ausubel, Joan Ellen is an sole proprietor health care provider with primary practice located at 317 Sw Alder St Suite 1140, Portland OR 97204-2547. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ausubel, Joan Ellen can be contacted via phone (503) 294-2111.

Contact Information

Primary practice address
317 Sw Alder St Suite 1140 Portland OR 97204-2547
Fax: (503) 525-0752
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 735 Oregon

Profile Details

NPI number 1427277896
LBN Legal business name Ausubel, Joan Ellen
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 24th, 2007
Last updated Jul 9th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1427277896 NPPES
Oregon Other 735 PSYCHOLOGIST LICENSE #

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