Sisko, Susan E
Sisko, Susan E is an individual health care provider with primary practice located at 419 E 7Th St Ste 207 , The Dalles OR 97058-2676. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Sisko, Susan E can be contacted via phone (541) 296-5452.Contact Information
Primary practice address
419 E 7Th St Ste 207
The Dalles OR 97058-2676
Phone: (541) 296-5452
Fax: (541) 296-4792
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | C2188 | Oregon |
Profile Details
| NPI number | 1457597692 |
|---|---|
| LBN Legal business name | Sisko, Susan E |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 17th, 2008 |
| Last updated | Dec 17th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457597692 | NPPES |
| Oregon | MEDICAID | 139670 |
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