Stivers, Jacqueline Eliesa

Stivers, Jacqueline Eliesa is an sole proprietor health care provider with primary practice located at 2318 Ne Mlk Jr Blvd , Portland OR 97212-3715. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Acupuncturist, Allopathic & Osteopathic Physicians / General Practice, Other Service Providers / Naturopath. Other Service Providers / Naturopath is her primary health care specialty. Stivers, Jacqueline Eliesa can be contacted via phone (503) 335-8611.

Contact Information

Primary practice address
2318 Ne Mlk Jr Blvd Portland OR 97212-3715
Phone: (503) 335-8611
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X Oregon
Other Service Providers / Acupuncturist 171100000X AC190894 Oregon
Allopathic & Osteopathic Physicians / General Practice 208D00000X 4216 Oregon
Other Service Providers / Naturopath 175F00000X 4216 Oregon

Profile Details

NPI number 1205301975
LBN Legal business name Stivers, Jacqueline Eliesa
Credentials ND LAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 9th, 2018
Last updated Jun 1st, 2020 - about 6 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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