Quackenbush, Elizabeth
Quackenbush, Elizabeth is an individual health care provider with primary practice located at 2493 State St , Salem OR 97301-4543. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Quackenbush, Elizabeth can be contacted via phone (503) 588-1010.Contact Information
Primary practice address
2493 State St
Salem OR 97301-4543
Phone: (503) 588-1010
Fax: (503) 588-9424
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1096 | Oregon |
Profile Details
| NPI number | 1083605869 |
|---|---|
| LBN Legal business name | Quackenbush, Elizabeth |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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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