Ivan, Anca Mirela

Ivan, Anca Mirela is an sole proprietor health care provider with primary practice located at 1800 Blankenship Rd # 200, West Linn OR 97068-4172. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Ivan, Anca Mirela can be contacted via phone (503) 650-2240.

Contact Information

Primary practice address
1800 Blankenship Rd # 200 West Linn OR 97068-4172
Phone: (503) 650-2240
Fax: (503) 650-2248
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY 19910 California
Behavioral Health & Social Service Providers / Counseling 103TC1900X PSY 19910 California

Profile Details

NPI number 1669669784
LBN Legal business name Ivan, Anca Mirela
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 2nd, 2007
Last updated Oct 29th, 2008 - about 16 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 1669669784 NPPES
Oregon Other 1932 LICENSE #

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