Gil-Kashiwabara, Eleanor

Gil-Kashiwabara, Eleanor is an individual health care provider with primary practice located at 3121 S Moody Ave Ste 185 , Portland OR 97239-4505. 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. Gil-Kashiwabara, Eleanor can be contacted via phone (503) 453-5472.

Contact Information

Primary practice address
3121 S Moody Ave Ste 185 Portland OR 97239-4505
Phone: (503) 453-5472
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 1595 Oregon

Profile Details

NPI number 1326196940
LBN Legal business name Gil-Kashiwabara, Eleanor
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Dec 11th, 2020 - about 5 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 1326196940 NPPES
Oregon MEDICAID 026485

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