Welch, Gwen
Welch, Gwen is an sole proprietor health care provider with primary practice located at 604 Charman St , Oregon City OR 97045-3018. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Welch, Gwen can be contacted via phone (503) 877-8218.Contact Information
Primary practice address
604 Charman St
Oregon City OR 97045-3018
Phone: (503) 877-8218
Fax: (503) 389-7945
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | L4178 | Oregon |
Profile Details
| NPI number | 1164566212 |
|---|---|
| LBN Legal business name | Welch, Gwen |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 19th, 2007 |
| Last updated | Feb 12th, 2019 - about 5 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 | 1164566212 | NPPES |
| Massachusetts | Other | P07539 | BLUE CROSS BLUE SHIELD |
| Massachusetts | MEDICAID | 50069742 | BLUE CROSS BLUE SHIELD |
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