Halstead, Dzenana

Halstead, Dzenana is an individual health care provider with primary practice located at 11211 Se 82Nd Ave Ste 0 , Happy Valley OR 97086-7641. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Halstead, Dzenana can be contacted via phone (503) 722-6200.

Contact Information

Primary practice address
11211 Se 82Nd Ave Ste 0 Happy Valley OR 97086-7641
Phone: (503) 722-6200
Fax: (503) 722-6545
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X C3558 Oregon

Profile Details

NPI number 1528363876
LBN Legal business name Halstead, Dzenana
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2011
Last updated Aug 16th, 2017 - about 7 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 1528363876 NPPES
Oregon MEDICAID 500678475

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