Wheeler, Garrett
Wheeler, Garrett is an individual health care provider with primary practice located at 890 82Nd Dr Bldg B , Gladstone OR 97027-1803. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Wheeler, Garrett can be contacted via phone (503) 659-5515.Contact Information
Primary practice address
890 82Nd Dr Bldg B
Gladstone OR 97027-1803
Phone: (503) 659-5515
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Social Worker | 104100000X | ||
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | A14433 | Oregon |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 23-QMHP-R-2263 | Oregon |
Profile Details
NPI number | 1528702818 |
---|---|
LBN Legal business name | Wheeler, Garrett |
Credentials | CSWA |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 23rd, 2022 |
Last updated | Dec 5th, 2023 - 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 | 1528702818 | NPPES |
Oregon | Other | 23-QMHP-R-2263 | THE MENTAL HEALTH AND ADDICTION CERTIFICATION BOARD OF OREGON |
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