Centurion, Linda Marie
Centurion, Linda Marie is an sole proprietor health care provider with primary practice located at 320 N Main Ave Ste 201 , Gresham OR 97030-7242. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Centurion, Linda Marie can be contacted via phone (971) 501-3590.Contact Information
Primary practice address
320 N Main Ave Ste 201
Gresham OR 97030-7242
Phone: (971) 501-3590
Fax: (971) 396-9946
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
| NPI number | 1710147657 |
|---|---|
| LBN Legal business name | Centurion, Linda Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 13th, 2008 |
| Last updated | Apr 16th, 2021 - about 3 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 | 1710147657 | NPPES |
| Oregon | MEDICAID | 164936 | |
| Oregon | Other | 0000WDBCH |
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