Cross, Jerome
Cross, Jerome is an individual health care provider with primary practice located at 33 Nw Broadway , Portland OR 97209-3580. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Cross, Jerome can be contacted via phone (503) 228-7134.Contact Information
Primary practice address
33 Nw Broadway
Portland OR 97209-3580
Phone: (503) 228-7134
Fax: (503) 501-5679
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X | 22-CRM-1117 | Oregon |
Profile Details
| NPI number | 1275301897 |
|---|---|
| LBN Legal business name | Cross, Jerome |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2023 |
| Last updated | Jan 10th, 2024 - about 2 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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