Guardalabene, Jeff
Guardalabene, Jeff is an sole proprietor health care provider with primary practice located at 6221 Ne Fremont St Suite 202, Portland OR 97213-4437. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Guardalabene, Jeff can be contacted via phone (503) 281-7888.Contact Information
Primary practice address
6221 Ne Fremont St Suite 202
Portland OR 97213-4437
Phone: (503) 281-7888
Fax: (503) 281-8646
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1560 | Oregon |
Profile Details
| NPI number | 1619080900 |
|---|---|
| LBN Legal business name | Guardalabene, Jeff |
| Credentials | PSY. D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 17th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619080900 | NPPES |
| Oregon | Other | 299505 | OMAP |
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