Cottrell, Tonia M
Cottrell, Tonia M is an individual health care provider with primary practice located at 9450 Sw Barnes Rd Ste 200 , Portland OR 97225-6638. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Cottrell, Tonia M can be contacted via phone (503) 216-2025.Contact Information
Primary practice address
9450 Sw Barnes Rd Ste 200
Portland OR 97225-6638
Phone: (503) 216-2025
Fax: (503) 216-5529
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 2158 | Oregon |
Profile Details
| NPI number | 1891859971 |
|---|---|
| LBN Legal business name | Cottrell, Tonia M |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 21st, 2006 |
| Last updated | Sep 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891859971 | NPPES |
| Oregon | MEDICAID | 164936 |
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