Blickenstaff, Eric John
Blickenstaff, Eric John is an sole proprietor health care provider with primary practice located at 891 Nw Grant Ave , Corvallis OR 97330-4539. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Blickenstaff, Eric John can be contacted via phone (503) 708-6190.Contact Information
Primary practice address
891 Nw Grant Ave
Corvallis OR 97330-4539
Phone: (503) 708-6190
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | L4669 | Oregon |
Profile Details
| NPI number | 1366735227 |
|---|---|
| LBN Legal business name | Blickenstaff, Eric John |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 25th, 2011 |
| Last updated | May 25th, 2011 - about 15 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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