Waldman, Jill S

Waldman, Jill S is an sole proprietor health care provider with primary practice located at 1130 Sw Morrison St 619 & 630, Portland OR 97205-2234. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Cognitive & Behavioral. Behavioral Health & Social Service Providers / Cognitive & Behavioral is her primary health care specialty. Waldman, Jill S can be contacted via phone (971) 256-2314.

Contact Information

Primary practice address
1130 Sw Morrison St 619 & 630 Portland OR 97205-2234
Phone: (971) 256-2314
Fax: (503) 841-5389
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 2703 Oregon
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 2703 Oregon

Profile Details

NPI number 1932355674
LBN Legal business name Waldman, Jill S
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 13th, 2008
Last updated Jun 14th, 2016 - about 9 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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