Carter, Shayna
Carter, Shayna is an sole proprietor health care provider with primary practice located at 1217 Ne Burnside Rd Building B, Suite 401, Gresham OR 97030-6722. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Carter, Shayna can be contacted via phone (503) 666-8832.Contact Information
Primary practice address
1217 Ne Burnside Rd Building B, Suite 401
Gresham OR 97030-6722
Phone: (503) 666-8832
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 060305 | Oregon |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | C2072 | Oregon |
Profile Details
| NPI number | 1114172285 |
|---|---|
| LBN Legal business name | Carter, Shayna |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 17th, 2008 |
| Last updated | Nov 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114172285 | NPPES |
| Oregon | MEDICAID | 164936 |
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