Eickholt, Charlene

Eickholt, Charlene is an sole proprietor health care provider with primary practice located at 1405 Ne Broadway Suite # 200, Portland OR 97232-1497. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Eickholt, Charlene can be contacted via phone (503) 288-5516.

Contact Information

Primary practice address
1405 Ne Broadway Suite # 200 Portland OR 97232-1497
Phone: (503) 288-5516
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PSY1323 Oregon

Profile Details

NPI number 1851532139
LBN Legal business name Eickholt, Charlene
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 16th, 2009
Last updated Mar 16th, 2009 - about 16 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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