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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 2 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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