Eubanks, John Charles

Eubanks, John Charles is an individual health care provider with primary practice located at 3710 Sw Us Veterans Hospital Rd , Portland OR 97239-2964. He recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Adult, which is considered as his primary health care specialty. Eubanks, John Charles can be contacted via phone (503) 273-5049.

Contact Information

Primary practice address
3710 Sw Us Veterans Hospital Rd Portland OR 97239-2964
Phone: (503) 273-5049
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X 201806106RN Oregon

Profile Details

NPI number 1194209403
LBN Legal business name Eubanks, John Charles
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2018
Last updated Sep 21st, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1194209403 NPPES
Oregon Other 201806106RN OREGON NURSING LICENSE

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