Rethlefsen, Charles E

Rethlefsen, Charles E is an individual health care provider with primary practice located at 530 Nw 27Th St , Corvallis OR 97330-5223. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Rethlefsen, Charles E can be contacted via phone (541) 766-6835.

Contact Information

Primary practice address
530 Nw 27Th St Corvallis OR 97330-5223
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X L1045 Oregon

Profile Details

NPI number 1518921311
LBN Legal business name Rethlefsen, Charles E
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Jul 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1518921311 NPPES
Oregon MEDICAID 065883

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