Thomas, Gwendolyn
Thomas, Gwendolyn is an individual health care provider with primary practice located at 208 State Street Suite #2, Hood River OR 97031-2036. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Thomas, Gwendolyn can be contacted via phone (541) 241-6276.Contact Information
Primary practice address
208 State Street Suite #2
Hood River OR 97031-2036
Phone: (541) 241-6276
Fax: (360) 844-5184
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | L4428 | Oregon |
Profile Details
| NPI number | 1558598599 |
|---|---|
| LBN Legal business name | Thomas, Gwendolyn |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2009 |
| Last updated | May 26th, 2022 - about 2 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 | 1558598599 | NPPES |
| Oregon | Other | R147878 | MEDICARE PTAN |
| Oregon | MEDICAID | 139670 | MEDICARE PTAN |
| Oregon | MEDICAID | 500801640 | MEDICARE PTAN |
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