Modesitt, Paul

Modesitt, Paul is an individual health care provider with primary practice located at 900 Main St Ste 200 , Oregon City OR 97045-1869. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Peer Specialist. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Modesitt, Paul can be contacted via phone (971) 386-3401.

Contact Information

Primary practice address
900 Main St Ste 200 Oregon City OR 97045-1869
Phone: (971) 386-3401
Fax: (503) 723-6653
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X Oregon
Other Service Providers / Peer Specialist 175T00000X 17-CRM-187 Oregon

Profile Details

NPI number 1699276550
LBN Legal business name Modesitt, Paul
Credentials CADC1
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2018
Last updated Jan 6th, 2022 - about 2 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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