Siegel, Jennifer Liana
Siegel, Jennifer Liana is an individual health care provider with primary practice located at 1500 Nw Bethany Blvd Ste 320 , Beaverton OR 97006-5238. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Prevention Professional. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Siegel, Jennifer Liana can be contacted via phone (503) 567-3260.Contact Information
Primary practice address
1500 Nw Bethany Blvd Ste 320
Beaverton OR 97006-5238
Phone: (503) 567-3260
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 24-04-20412 | Oregon |
Other Service Providers / Prevention Professional | 405300000X | THW000003996 | Oregon |
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 22-02-10336 | Oregon |
Profile Details
NPI number | 1568002392 |
---|---|
LBN Legal business name | Siegel, Jennifer Liana |
Credentials | CADC-2 |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 9th, 2020 |
Last updated | Jun 13th, 2024 - about 5 months 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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