Donaldson, Delila S

Donaldson, Delila S is an individual health care provider with primary practice located at 2004 Main St Ste 200 , Forest Grove OR 97116-7339. She 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 / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Donaldson, Delila S can be contacted via phone (541) 363-7650.

Contact Information

Primary practice address
2004 Main St Ste 200 Forest Grove OR 97116-7339
Phone: (541) 363-7650
Fax: (877) 775-1788
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X ACC-4913 Colorado
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW-869 Colorado
Behavioral Health & Social Service Providers / Clinical 1041C0700X L7749 Oregon

Profile Details

NPI number 1114112133
LBN Legal business name Donaldson, Delila S
Credentials LCSW, CAC III
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2007
Last updated Nov 1st, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114112133 NPPES
Oregon Other L7749 LCSW
Oregon MEDICAID 500740695 LCSW

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