Olsgaard, Jeff N
Olsgaard, Jeff N is an sole proprietor health care provider with primary practice located at 1700 Nw Civic Dr Suite 310, Gresham OR 97030-3770. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Olsgaard, Jeff N can be contacted via phone (503) 666-8832.Contact Information
Primary practice address
1700 Nw Civic Dr Suite 310
Gresham OR 97030-3770
Phone: (503) 666-8832
Fax: (503) 669-8641
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 867 - LCPC | Montana |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC C3060 | Oregon |
Profile Details
| NPI number | 1881723948 |
|---|---|
| LBN Legal business name | Olsgaard, Jeff N |
| Credentials | MA, MDIV, NCC, LCPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 5th, 2007 |
| Last updated | May 27th, 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 | 1881723948 | NPPES |
| Montana | Other | 740233 | BLUECROSS BLUESHIELD |
| Montana | Other | 1881723948 | BLUECROSS BLUESHIELD |
| Montana | Other | 12168943 | BLUECROSS BLUESHIELD |
| Montana | MEDICAID | 252790 | BLUECROSS BLUESHIELD |
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