Estupinian, Edwar Jose Fernando
Estupinian, Edwar Jose Fernando is an individual health care provider with primary practice located at 2225 Pacific Blvd Se , Albany OR 97321-7907. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Estupinian, Edwar Jose Fernando can be contacted via phone (541) 286-5002.Contact Information
Primary practice address
2225 Pacific Blvd Se
Albany OR 97321-7907
Phone: (541) 286-5002
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | C6204 | Oregon |
Profile Details
| NPI number | 1295236792 |
|---|---|
| LBN Legal business name | Estupinian, Edwar Jose Fernando |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2018 |
| Last updated | Jun 22nd, 2021 - about 5 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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