Carroll, John

Carroll, John is an individual health care provider with primary practice located at 10313 Sw 69Th Ave , Tigard OR 97223-9103. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Carroll, John can be contacted via phone (503) 726-3784.

Contact Information

Primary practice address
10313 Sw 69Th Ave Tigard OR 97223-9103
Fax: (503) 726-3785
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1831482611
LBN Legal business name Carroll, John
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2011
Last updated May 26th, 2011 - about 14 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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