Blea, Phillip Francis
Blea, Phillip Francis is an individual health care provider with primary practice located at 4455 Ne Highway 20 , Corvallis OR 97330-9695. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Blea, Phillip Francis can be contacted via phone (541) 750-1110.Contact Information
Primary practice address
4455 Ne Highway 20
Corvallis OR 97330-9695
Phone: (541) 750-1110
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 3451 | Oregon |
Profile Details
| NPI number | 1356497556 |
|---|---|
| LBN Legal business name | Blea, Phillip Francis |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 28th, 2007 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356497556 | NPPES |
| Oregon | Other | TFS001CFH | LCSW |
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