Chan, Theresa
Chan, Theresa is an sole proprietor health care provider with primary practice located at 2625 E Burnside St Apt 329 , Portland OR 97214-1875. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Chan, Theresa can be contacted via phone (503) 852-1168.Contact Information
Primary practice address
2625 E Burnside St Apt 329
Portland OR 97214-1875
Phone: (503) 852-1168
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 3025 | Oregon |
Profile Details
| NPI number | 1982270161 |
|---|---|
| LBN Legal business name | Chan, Theresa |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 28th, 2021 |
| Last updated | Jan 25th, 2022 - 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.
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