Blakely, Kerra E
Blakely, Kerra E is an sole proprietor health care provider with primary practice located at 3710 Sw Us Veterans Hospital Rd P3-Prrc, Portland OR 97239-2964. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Blakely, Kerra E can be contacted via phone (503) 220-8262.Contact Information
Primary practice address
3710 Sw Us Veterans Hospital Rd P3-Prrc
Portland OR 97239-2964
Phone: (503) 220-8262
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | L3585 | Oregon |
Profile Details
| NPI number | 1366559692 |
|---|---|
| LBN Legal business name | Blakely, Kerra E |
| Credentials | CADC, LCSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 24th, 2006 |
| Last updated | Mar 17th, 2018 - about 7 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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