Billmyre, Stephanie Michelle

Billmyre, Stephanie Michelle is an sole proprietor health care provider with primary practice located at 1010 Ne 165Th Ave , Portland OR 97230-6102. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Behavior Technician, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is her primary health care specialty. Billmyre, Stephanie Michelle can be contacted via phone (971) 353-8052.

Contact Information

Primary practice address
1010 Ne 165Th Ave Portland OR 97230-6102
Phone: (971) 353-8052
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1629571559
LBN Legal business name Billmyre, Stephanie Michelle
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 16th, 2018
Last updated Apr 26th, 2022 - about 3 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 1629571559 NPPES
Oregon MEDICAID 500804330

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