Quackenbush, Ross Allen
Quackenbush, Ross Allen is an individual health care provider with primary practice located at 2493 State St , Salem OR 97301-4543. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Quackenbush, Ross Allen 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 | 1140 | Oregon |
Profile Details
| NPI number | 1184615288 |
|---|---|
| LBN Legal business name | Quackenbush, Ross Allen |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 30th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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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