Blacker, Susan Jean
Blacker, Susan Jean is an individual health care provider with primary practice located at 3034 Ne M L King Blvd , Portland OR 97212-3053. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Blacker, Susan Jean can be contacted via phone (503) 283-3763.Contact Information
Primary practice address
3034 Ne M L King Blvd
Portland OR 97212-3053
Phone: (503) 283-3763
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1629100797 |
|---|---|
| LBN Legal business name | Blacker, Susan Jean |
| Credentials | QMHA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 12th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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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