Pethick, Stephen

Pethick, Stephen is an individual health care provider with primary practice located at 401 E 10Th Ave Suite 530, Eugene OR 97401-3367. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Pethick, Stephen can be contacted via phone (541) 687-7787.

Contact Information

Primary practice address
401 E 10Th Ave Suite 530 Eugene OR 97401-3367
Phone: (541) 687-7787
Fax: (855) 646-7433
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1569 Oregon

Profile Details

NPI number 1356404172
LBN Legal business name Pethick, Stephen
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2006
Last updated Mar 29th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356404172 NPPES
Oregon Other 298598 OMAP

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