Tillman-White, Greg Clayton

Tillman-White, Greg Clayton is an sole proprietor health care provider with primary practice located at 1376 Ne Walnut St , Roseburg OR 97470-2242. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Tillman-White, Greg Clayton can be contacted via phone (541) 784-8224.

Contact Information

Primary practice address
1376 Ne Walnut St Roseburg OR 97470-2242
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X C1764 Oregon

Profile Details

NPI number 1205155645
LBN Legal business name Tillman-White, Greg Clayton
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 25th, 2010
Last updated May 25th, 2010 - about 14 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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