Col, Douglas A

Col, Douglas A is an sole proprietor health care provider with primary practice located at 542 Washington St Ste 200, Ashland OR 97520. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Col, Douglas A can be contacted via phone (541) 488-6941.

Contact Information

Primary practice address
542 Washington St Ste 200 Ashland OR 97520
Fax: (541) 488-6951
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1346 Oregon

Profile Details

NPI number 1093939944
LBN Legal business name Col, Douglas A
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 12th, 2007
Last updated Oct 27th, 2016 - about 9 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 1093939944 NPPES
Oregon MEDICAID 295715
Oregon Other R106323

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