Jardine, Josephine T

Jardine, Josephine T is an individual health care provider with primary practice located at 3615 Ne Grand Ave , Portland OR 97212-2104. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Jardine, Josephine T can be contacted via phone (503) 281-1166.

Contact Information

Primary practice address
3615 Ne Grand Ave Portland OR 97212-2104
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X Oregon

Profile Details

NPI number 1902563992
LBN Legal business name Jardine, Josephine T
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 24th, 2021
Last updated Nov 24th, 2021 - about 3 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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