Deleon, Colette Renee
Deleon, Colette Renee is an individual health care provider with primary practice located at 1217 Ne Burnside Rd Building B Suite 401, Gresham OR 97030-6722. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Deleon, Colette Renee can be contacted via phone (503) 666-8832.Contact Information
Primary practice address
1217 Ne Burnside Rd Building B Suite 401
Gresham OR 97030-6722
Phone: (503) 666-8832
Fax: (503) 669-8641
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | L3792 | Oregon |
Profile Details
| NPI number | 1164566113 |
|---|---|
| LBN Legal business name | Deleon, Colette Renee |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 16th, 2007 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1164566113 | NPPES |
| Oregon | MEDICAID | 164936 |
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