Churchill, Virginia A
Churchill, Virginia A is an individual health care provider with primary practice located at 2415 Se 43Rd Ave Suite 100, Portland OR 97206-1600. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Churchill, Virginia A can be contacted via phone (503) 797-6689.Contact Information
Primary practice address
2415 Se 43Rd Ave Suite 100
Portland OR 97206-1600
Phone: (503) 797-6689
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1962458448 |
|---|---|
| LBN Legal business name | Churchill, Virginia A |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 26th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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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