Sanders, Jake

Sanders, Jake is an individual health care provider with primary practice located at 2222 East Powell Boulevard , Gresham OR 97080. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Sanders, Jake can be contacted via phone (503) 669-4300.

Contact Information

Primary practice address
2222 East Powell Boulevard Gresham OR 97080
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1467138446
LBN Legal business name Sanders, Jake
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2023
Last updated Jun 28th, 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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