Derico, Jason
Derico, Jason is an sole proprietor health care provider with primary practice located at 4757 Sw 141St Ave , Beaverton OR 97005-3750. He recently has only one registered license in Other Service Providers / Naturopath, which is considered as his primary health care specialty. Derico, Jason can be contacted via phone (503) 610-6924.Contact Information
Primary practice address
4757 Sw 141St Ave
Beaverton OR 97005-3750
Phone: (503) 610-6924
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Naturopath | 175F00000X | 3026 | Oregon |
Profile Details
| NPI number | 1265804652 |
|---|---|
| LBN Legal business name | Derico, Jason |
| Credentials | N.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 23rd, 2015 |
| Last updated | Oct 23rd, 2015 - about 11 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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