Iteld, Lily A

Iteld, Lily A is an sole proprietor health care provider with primary practice located at 1509 Sw Sunset Blvd Ste 1D , Portland OR 97239-2676. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Iteld, Lily A can be contacted via phone (503) 446-3435.

Contact Information

Primary practice address
1509 Sw Sunset Blvd Ste 1D Portland OR 97239-2676
Phone: (503) 446-3435
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 35143 Texas
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 3431 Oregon

Profile Details

NPI number 1487936753
LBN Legal business name Iteld, Lily A
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2011
Last updated May 25th, 2024 - about last year

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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