Pickering, Angela Kathryn

Pickering, Angela Kathryn 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. Pickering, Angela Kathryn can be contacted via phone (503) 233-5405.

Contact Information

Primary practice address
18765 Sw Boones Ferry Rd Tualatin OR 97062-8496
Phone: (503) 233-5405
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 10201681 Oregon

Profile Details

NPI number 1972050268
LBN Legal business name Pickering, Angela Kathryn
Credentials BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 5th, 2016
Last updated Aug 11th, 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 1972050268 NPPES
Oregon MEDICAID 164936

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