Gardner, Ronald D

Gardner, Ronald D is an individual health care provider with primary practice located at 25647 Redwood Hwy , Cave Junction OR 97531-9724. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Gardner, Ronald D can be contacted via phone (541) 592-4111.

Contact Information

Primary practice address
25647 Redwood Hwy Cave Junction OR 97531-9724
Phone: (541) 592-4111
Fax: (541) 592-3916
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1372 Oregon

Profile Details

NPI number 1306910948
LBN Legal business name Gardner, Ronald D
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2006
Last updated May 14th, 2008 - about 18 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 1306910948 NPPES
Oregon MEDICAID 127725

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