Burt, Johnnie Calista
Burt, Johnnie Calista is an sole proprietor health care provider with primary practice located at 354 N Pacific Hwy , Woodburn OR 97071-5148. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Burt, Johnnie Calista can be contacted via phone (503) 980-5322.Contact Information
Primary practice address
354 N Pacific Hwy
Woodburn OR 97071-5148
Phone: (503) 980-5322
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | RO849 | Oregon |
Profile Details
| NPI number | 1083859169 |
|---|---|
| LBN Legal business name | Burt, Johnnie Calista |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 3rd, 2008 |
| Last updated | Dec 3rd, 2008 - 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.
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