Petrich, Camille

Petrich, Camille is an sole proprietor health care provider with primary practice located at 18765 Sw Boones Ferry Rd , Tualatin OR 97062-8496. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Petrich, Camille can be contacted via phone (503) 612-1000.

Contact Information

Primary practice address
18765 Sw Boones Ferry Rd Tualatin OR 97062-8496
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X ABA-IN-10215441 Oregon

Profile Details

NPI number 1598336869
LBN Legal business name Petrich, Camille
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2021
Last updated Jul 7th, 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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