Carney, Jeffery Todd
Carney, Jeffery Todd is an individual health care provider with primary practice located at 870 82Nd Dr # C , Gladstone OR 97027-1803. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Carney, Jeffery Todd can be contacted via phone (503) 659-5515.Contact Information
Primary practice address
870 82Nd Dr # C
Gladstone OR 97027-1803
Phone: (503) 659-5515
Fax: (503) 594-8193
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 18-11-11 | Oregon |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1235590845 |
|---|---|
| LBN Legal business name | Carney, Jeffery Todd |
| Credentials | CADC 2/ QMHA 1 |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 9th, 2016 |
| Last updated | Jan 22nd, 2024 - about 11 months 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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