Terry, Jillian

Terry, Jillian is an individual health care provider with primary practice located at 3400 State St Ste G750 , Salem OR 97301. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Terry, Jillian can be contacted via phone (971) 273-7502.

Contact Information

Primary practice address
3400 State St Ste G750 Salem OR 97301
Phone: (971) 273-7502
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1912377219
LBN Legal business name Terry, Jillian
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2015
Last updated Jun 28th, 2018 - 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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