Vera-Gonzalez, Ashmabett

Vera-Gonzalez, Ashmabett is an individual health care provider with primary practice located at 236 D Street , Madras OR 97754. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Vera-Gonzalez, Ashmabett can be contacted via phone (541) 475-5300.

Contact Information

Primary practice address
236 D Street Madras OR 97754
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 21-02-10075 Oregon

Profile Details

NPI number 1902483498
LBN Legal business name Vera-Gonzalez, Ashmabett
Credentials CADC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2021
Last updated Mar 29th, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1902483498 NPPES
Oregon Other 21-02-1075 CADC

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