Clayton, Sally Victoria

Clayton, Sally Victoria is an sole proprietor health care provider with primary practice located at 1070 Nw Murray Rd Ste 3 , Portland OR 97229-5568. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Clayton, Sally Victoria can be contacted via phone (503) 531-3574.

Contact Information

Primary practice address
1070 Nw Murray Rd Ste 3 Portland OR 97229-5568
Fax: (503) 305-5684
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1385 Oregon

Profile Details

NPI number 1013194562
LBN Legal business name Clayton, Sally Victoria
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 28th, 2008
Last updated Jan 12th, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1013194562 NPPES
Other 223707 MHN
Other 804349000 MHN

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