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:
Health care specialties
Specialty | Code | License # | 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 13 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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