Dahl, Jonathan Douglas

Dahl, Jonathan Douglas is an sole proprietor health care provider with primary practice located at 1904 Se Division St , Portland OR 97202-1146. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Dahl, Jonathan Douglas can be contacted via phone (503) 853-5955.

Contact Information

Primary practice address
1904 Se Division St Portland OR 97202-1146
Phone: (503) 853-5955
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1356480115
LBN Legal business name Dahl, Jonathan Douglas
Credentials MWS, QMHP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 6th, 2007
Last updated Sep 6th, 2011 - about 14 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.

Request for update

Popular Providers