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
Fax: (503) 281-8646
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619080900 NPPES
Oregon Other 299505 OMAP

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