Emrick, Jeffrey William

Emrick, Jeffrey William is an sole proprietor health care provider with primary practice located at 2965 Ne Conners Ave , Bend OR 97701-7753. He 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 his primary health care specialty. Emrick, Jeffrey William can be contacted via phone (542) 330-8896.

Contact Information

Primary practice address
2965 Ne Conners Ave Bend OR 97701-7753
Phone: (542) 330-8896
Fax: (541) 330-8948
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 02-R-05 Oregon
Behavioral Health & Social Service Providers / Clinical 1041C0700X L3798 Oregon

Profile Details

NPI number 1093915324
LBN Legal business name Emrick, Jeffrey William
Credentials LCSW, CADC III
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2007
Last updated Apr 9th, 2012 - about 14 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