Borgelt, Debra Ann
Borgelt, Debra Ann is an individual health care provider with primary practice located at 1631 Sw Columbia St , Portland OR 97201-6025. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Peer Specialist. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Borgelt, Debra Ann can be contacted via phone (503) 231-2641.Contact Information
Primary practice address
1631 Sw Columbia St
Portland OR 97201-6025
Phone: (503) 231-2641
Fax: (503) 231-1654
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 15-CRM-184 | Oregon |
| Other Service Providers / Peer Specialist | 175T00000X | THW000001271 | Oregon |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 06-11-72 | Oregon |
Profile Details
| NPI number | 1548573355 |
|---|---|
| LBN Legal business name | Borgelt, Debra Ann |
| Credentials | CADC II/CRM/PSS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2010 |
| Last updated | Sep 5th, 2023 - about last year |
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 | 1548573355 | NPPES |
| Oregon | MEDICAID | 500670029 | |
| Oregon | MEDICAID | 500725965 |
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