De La Torre, Jose Luis

De La Torre, Jose Luis is an individual health care provider with primary practice located at 1312 E Powell Blvd , Gresham OR 97030-8003. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Other Service Providers / Prevention Professional. Other Service Providers / Prevention Professional is his primary health care specialty. De La Torre, Jose Luis can be contacted via phone (503) 546-6377.

Contact Information

Primary practice address
1312 E Powell Blvd Gresham OR 97030-8003
Phone: (503) 546-6377
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X 93-0841022 Oregon
Other Service Providers / Prevention Professional 405300000X 93-0841022 Oregon

Profile Details

NPI number 1477391878
LBN Legal business name De La Torre, Jose Luis
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2024
Last updated Jul 18th, 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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