Andre, Derek Justin

Andre, Derek Justin is an individual health care provider with primary practice located at 4850 Sw Scholls Ferry Rd Ste 202 , Portland OR 97225-1692. He recently has only one registered license in Other Service Providers / Naturopath, which is considered as his primary health care specialty. Andre, Derek Justin can be contacted via phone (503) 567-8234.

Contact Information

Primary practice address
4850 Sw Scholls Ferry Rd Ste 202 Portland OR 97225-1692
Phone: (503) 567-8234
Fax: (888) 789-6343
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Naturopath 175F00000X 1996 Oregon

Profile Details

NPI number 1922436450
LBN Legal business name Andre, Derek Justin
Credentials N.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2013
Last updated Oct 18th, 2013 - about 13 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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