Chapman, John Michael
Chapman, John Michael is an individual health care provider with primary practice located at 703 Ne Hancock St , Portland OR 97212-3955. He 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 his primary health care specialty. Chapman, John Michael can be contacted via phone (503) 230-9875.Contact Information
Primary practice address
703 Ne Hancock St
Portland OR 97212-3955
Phone: (503) 230-9875
Fax: (503) 331-3441
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 04-11-66 | Oregon |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | C1554 | Oregon |
Profile Details
| NPI number | 1346213584 |
|---|---|
| LBN Legal business name | Chapman, John Michael |
| Credentials | CADC III/LPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2006 |
| Last updated | May 10th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346213584 | NPPES |
| Oregon | MEDICAID | 500724276 | |
| Oregon | MEDICAID | 2025953 | |
| Oregon | MEDICAID | 500640316 |
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