Banther, Roger
Banther, Roger is an individual health care provider with primary practice located at 1233 Edgewater St Nw , Salem OR 97304. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Banther, Roger can be contacted via phone (503) 378-7526.Contact Information
Primary practice address
1233 Edgewater St Nw
Salem OR 97304
Phone: (503) 378-7526
Fax: (503) 480-1630
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | L7065 | Oregon |
Profile Details
| NPI number | 1487907606 |
|---|---|
| LBN Legal business name | Banther, Roger |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2012 |
| Last updated | Jul 16th, 2024 - 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.
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