Condon, Stephen R

Condon, Stephen R is an individual health care provider with primary practice located at 125 Se Court Ave Ste 4, Pendleton OR 97801-2251. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Condon, Stephen R can be contacted via phone (541) 278-4123.

Contact Information

Primary practice address
125 Se Court Ave Ste 4 Pendleton OR 97801-2251
Phone: (541) 278-4123
Fax: (541) 278-4123
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 570 Oregon

Profile Details

NPI number 1689604290
LBN Legal business name Condon, Stephen R
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Jan 22nd, 2018 - about 7 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 1689604290 NPPES
Oregon Other 808119000 REGENCE BLUE CROSS BLUE S
Oregon MEDICAID 010673 REGENCE BLUE CROSS BLUE S

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