Riddle, Jeremy

Riddle, Jeremy is an sole proprietor health care provider with primary practice located at 455 Portland Ave , Gladstone OR 97027-2452. He recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Religious Nonmedical Practitioner, Behavioral Health & Social Service Providers / Pastoral. Nursing Service Related Providers / Religious Nonmedical Practitioner is his primary health care specialty. Riddle, Jeremy can be contacted via phone (971) 404-6452.

Contact Information

Primary practice address
455 Portland Ave Gladstone OR 97027-2452
Phone: (971) 404-6452
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Religious Nonmedical Practitioner 374K00000X
Behavioral Health & Social Service Providers / Pastoral 101YP1600X

Profile Details

NPI number 1811535834
LBN Legal business name Riddle, Jeremy
Credentials RH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 20th, 2019
Last updated Dec 20th, 2019 - about 5 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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