Bontty, Nicole Sue

Bontty, Nicole Sue is an individual health care provider with primary practice located at 8915 Sw Center St , Tigard OR 97223. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Bontty, Nicole Sue can be contacted via phone (503) 726-3690.

Contact Information

Primary practice address
8915 Sw Center St Tigard OR 97223
Phone: (503) 726-3690
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 18-08-05 Oregon
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1215486600
LBN Legal business name Bontty, Nicole Sue
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2016
Last updated Jan 10th, 2019 - 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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