Charley, Corey

Charley, Corey is an individual health care provider with primary practice located at 125 Ne 102Nd Ave , Portland OR 97220-4166. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Charley, Corey can be contacted via phone (503) 254-6317.

Contact Information

Primary practice address
125 Ne 102Nd Ave Portland OR 97220-4166
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X ABA-IN-10186258 Oregon

Profile Details

NPI number 1801302872
LBN Legal business name Charley, Corey
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2017
Last updated Dec 28th, 2017 - about 8 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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