Louise, Linda
Louise, Linda is an individual health care provider with primary practice located at 12360 E Burnside St , Portland OR 97233-1042. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Louise, Linda can be contacted via phone (971) 279-4800.Contact Information
Primary practice address
12360 E Burnside St
Portland OR 97233-1042
Phone: (971) 279-4800
Fax: (971) 279-2051
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 11-06-92 | Oregon |
Profile Details
| NPI number | 1407847973 |
|---|---|
| LBN Legal business name | Louise, Linda |
| Credentials | CADC II |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Apr 28th, 2020 - about 4 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 | 1407847973 | NPPES |
| Oregon | MEDICAID | 500640327 |
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