Bandoroff, Scott A

Bandoroff, Scott A is an sole proprietor health care provider with primary practice located at 149 Clear Creek Dr Suite 110, Ashland OR 97520. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as his primary health care specialty. Bandoroff, Scott A can be contacted via phone (541) 951-4329.

Contact Information

Primary practice address
149 Clear Creek Dr Suite 110 Ashland OR 97520
Phone: (541) 951-4329
Fax: (503) 419-4662
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 1120 Oregon
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X OR1120 Oregon

Profile Details

NPI number 1801096334
LBN Legal business name Bandoroff, Scott A
Credentials PSYCHOLOGIST (PHD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 23rd, 2007
Last updated Apr 17th, 2012 - about 12 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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