Estrada, Dereck David
Estrada, Dereck David is an individual health care provider with primary practice located at 8495 Crater Lake Hwy # 116B , White City OR 97503-3011. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Estrada, Dereck David can be contacted via phone (541) 826-2111.Contact Information
Primary practice address
8495 Crater Lake Hwy # 116B
White City OR 97503-3011
Phone: (541) 826-2111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | C4199 | Oregon |
Profile Details
| NPI number | 1619440104 |
|---|---|
| LBN Legal business name | Estrada, Dereck David |
| Credentials | LPMHC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 7th, 2019 |
| Last updated | Jan 7th, 2019 - about 7 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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