Deroest, Jan M

Deroest, Jan M is an sole proprietor health care provider with primary practice located at 350 Sw 30Th Ct , Troutdale OR 97060-3143. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Deroest, Jan M can be contacted via phone (503) 475-3274.

Contact Information

Primary practice address
350 Sw 30Th Ct Troutdale OR 97060-3143
Phone: (503) 475-3274
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1842 Oregon
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY 00003927 Washington

Profile Details

NPI number 1114106028
LBN Legal business name Deroest, Jan M
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 26th, 2007
Last updated Jul 23rd, 2009 - about 15 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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