Quevedo, Jodie
Quevedo, Jodie is an individual health care provider with primary practice located at 1060 Webber St , The Dalles OR 97058-3749. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Quevedo, Jodie can be contacted via phone (541) 296-5452.Contact Information
Primary practice address
1060 Webber St
The Dalles OR 97058-3749
Phone: (541) 296-5452
Fax: (541) 296-9418
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
Other Service Providers / Peer Specialist | 175T00000X | ||
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
NPI number | 1962158717 |
---|---|
LBN Legal business name | Quevedo, Jodie |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 1st, 2022 |
Last updated | Oct 7th, 2023 - about last year |
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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