Griffith, Petal

Griffith, Petal is an sole proprietor health care provider with primary practice located at 3415 Se Powell Blvd , Portland OR 97202-3371. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Griffith, Petal can be contacted via phone (503) 205-4334.

Contact Information

Primary practice address
3415 Se Powell Blvd Portland OR 97202-3371
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X

Profile Details

NPI number 1013119205
LBN Legal business name Griffith, Petal
Credentials BS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 1st, 2007
Last updated Jul 8th, 2007 - about 17 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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