Etcheberry, Jessica Joanne
Etcheberry, Jessica Joanne is an sole proprietor health care provider with primary practice located at 8855 Sw Holly Lane Suite 102, Wilsonville OR 97070-8792. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Etcheberry, Jessica Joanne can be contacted via phone (971) 319-1613.Contact Information
Primary practice address
8855 Sw Holly Lane Suite 102
Wilsonville OR 97070-8792
Phone: (971) 319-1613
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1427316793 |
|---|---|
| LBN Legal business name | Etcheberry, Jessica Joanne |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 24th, 2012 |
| Last updated | Jul 12th, 2022 - about 4 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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