Bourgeau, Cynthia
Bourgeau, Cynthia is an sole proprietor health care provider with primary practice located at 325 S 5Th St , Klamath Falls OR 97601-6107. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bourgeau, Cynthia can be contacted via phone (541) 882-7111.Contact Information
Primary practice address
325 S 5Th St
Klamath Falls OR 97601-6107
Phone: (541) 882-7111
Fax: (541) 882-7111
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | L1874 | Oregon |
Profile Details
| NPI number | 1366513616 |
|---|---|
| LBN Legal business name | Bourgeau, Cynthia |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 10th, 2006 |
| Last updated | May 23rd, 2013 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366513616 | NPPES |
| Oregon | Other | 021872000 | RBCBS |
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