O'Bannon, Katy

O'Bannon, Katy is an individual health care provider with primary practice located at 911 Sw 21St Ave Apt 303 , Portland OR 97205-1567. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. O'Bannon, Katy can be contacted via phone (936) 581-2841.

Contact Information

Primary practice address
911 Sw 21St Ave Apt 303 Portland OR 97205-1567
Phone: (936) 581-2841
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 525671 Oregon

Profile Details

NPI number 1649903592
LBN Legal business name O'Bannon, Katy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2022
Last updated Jul 7th, 2022 - about 3 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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