Raphael, Jessica

Raphael, Jessica is an individual health care provider with primary practice located at 70362 Kunze Ln , Boardman OR 97818-8013. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Raphael, Jessica can be contacted via phone (541) 481-3233.

Contact Information

Primary practice address
70362 Kunze Ln Boardman OR 97818-8013
Fax: (541) 481-3234
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1255885075
LBN Legal business name Raphael, Jessica
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2016
Last updated Aug 10th, 2016 - about 8 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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