Cisneros, Jon Joseph

Cisneros, Jon Joseph is an individual health care provider with primary practice located at 444 Nw Elks Dr , Corvallis OR 97330-3745. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Cisneros, Jon Joseph can be contacted via phone (541) 754-1150.

Contact Information

Primary practice address
444 Nw Elks Dr Corvallis OR 97330-3745
Phone: (541) 754-1150
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY-1825 Hawaii

Profile Details

NPI number 1699244509
LBN Legal business name Cisneros, Jon Joseph
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2018
Last updated May 11th, 2021 - about 4 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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