Eubanks, David Lee

Eubanks, David Lee is an sole proprietor health care provider with primary practice located at 412 Sw 12Th Ave , Portland OR 97205-2329. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Eubanks, David Lee can be contacted via phone (503) 552-5113.

Contact Information

Primary practice address
412 Sw 12Th Ave Portland OR 97205-2329
Phone: (503) 552-5113
Fax: (503) 273-8431
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1780738377
LBN Legal business name Eubanks, David Lee
Credentials QMHA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 22nd, 2007
Last updated Oct 9th, 2007 - about 19 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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