Decker, Jace Everett

Decker, Jace Everett is an sole proprietor health care provider with primary practice located at 1 Serenity Ln , Coburg OR 97408-9350. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Decker, Jace Everett can be contacted via phone (541) 284-5704.

Contact Information

Primary practice address
1 Serenity Ln Coburg OR 97408-9350
Phone: (541) 284-5704
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X R5281 Oregon

Profile Details

NPI number 1427518679
LBN Legal business name Decker, Jace Everett
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 22nd, 2019
Last updated Feb 16th, 2022 - about 3 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.

Request for update

Popular Providers