Epp, Jessica

Epp, Jessica is an sole proprietor health care provider with primary practice located at 1036 Se Douglas Ave 105A, Roseburg OR 97470-3301. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Epp, Jessica can be contacted via phone (541) 440-4234.

Contact Information

Primary practice address
1036 Se Douglas Ave 105A Roseburg OR 97470-3301
Fax:
Website:

Health care specialties

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

Profile Details

NPI number 1952841272
LBN Legal business name Epp, Jessica
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 6th, 2017
Last updated Mar 6th, 2017 - about 9 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 1952841272 NPPES
Oregon MEDICAID 500671930

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