Eide, Susan
Eide, Susan is an individual health care provider with primary practice located at 912 Ne Kelly Ave # 100C , Gresham OR 97030-5629. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Eide, Susan can be contacted via phone (503) 912-5502.Contact Information
Primary practice address
912 Ne Kelly Ave # 100C
Gresham OR 97030-5629
Phone: (503) 912-5502
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1407522170 |
|---|---|
| LBN Legal business name | Eide, Susan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 21st, 2021 |
| Last updated | Aug 21st, 2021 - about 3 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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