Black, Jason C

Black, Jason C is an individual health care provider with primary practice located at 2270 Ne Mcdaniel Ln , Mcminnville OR 97128-3247. He recently has only one registered license in Other Service Providers / Naturopath, which is considered as his primary health care specialty. Black, Jason C can be contacted via phone (503) 883-0333.

Contact Information

Primary practice address
2270 Ne Mcdaniel Ln Mcminnville OR 97128-3247
Phone: (503) 883-0333
Fax: (503) 883-0330
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Naturopath 175F00000X 1269 Oregon

Profile Details

NPI number 1922284124
LBN Legal business name Black, Jason C
Credentials ND
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2008
Last updated Jan 17th, 2008 - about 16 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 1922284124 NPPES
Oregon MEDICAID 231881

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