Jim, Paul
Jim, Paul is an individual health care provider with primary practice located at 340 Nw 5Th St Box 1710, Redmond OR 97756-1869. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Jim, Paul can be contacted via phone (541) 475-6575.Contact Information
Primary practice address
340 Nw 5Th St Box 1710
Redmond OR 97756-1869
Phone: (541) 475-6575
Fax: (541) 504-1195
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 15-01-06 | Oregon |
Profile Details
NPI number | 1154791580 |
---|---|
LBN Legal business name | Jim, Paul |
Credentials | CADC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 28th, 2015 |
Last updated | Sep 28th, 2015 - about 10 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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