Jones, Taylor Jade
Jones, Taylor Jade is an individual health care provider with primary practice located at 880 82Nd Dr Building A, Gladstone OR 97027-1803. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Jones, Taylor Jade can be contacted via phone (503) 659-5515.Contact Information
Primary practice address
880 82Nd Dr Building A
Gladstone OR 97027-1803
Phone: (503) 659-5515
Fax: (503) 659-1994
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | C3081 | Oregon |
Profile Details
| NPI number | 1902116395 |
|---|---|
| LBN Legal business name | Jones, Taylor Jade |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2010 |
| Last updated | Apr 4th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902116395 | NPPES |
| Oregon | Other | 0000WDBCH | MEDICARE |
| Oregon | MEDICAID | 164936 | MEDICARE |
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