Johnson, James (Jim) Charles

Johnson, James (Jim) Charles is an sole proprietor health care provider with primary practice located at 516 Se 71St Ave , Portland OR 97215-2132. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Johnson, James (Jim) Charles can be contacted via phone (503) 252-3906.

Contact Information

Primary practice address
516 Se 71St Ave Portland OR 97215-2132
Phone: (503) 252-3906
Fax: (503) 252-5824
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 0515 Oregon

Profile Details

NPI number 1497831713
LBN Legal business name Johnson, James (Jim) Charles
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 29th, 2006
Last updated Jul 9th, 2007 - about 17 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 1497831713 NPPES
Oregon Other 0515 PSYCHOLOGY LICENSE NUMBER

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