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
Phone: (503) 531-3574
Fax: (503) 305-5684
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013194562 | NPPES |
| Other | 223707 | MHN | |
| Other | 804349000 | MHN |
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