Gil-Kashiwabara, Eleanor
Gil-Kashiwabara, Eleanor is an individual health care provider with primary practice located at 3121 S Moody Ave Ste 185 , Portland OR 97239-4505. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Gil-Kashiwabara, Eleanor can be contacted via phone (503) 453-5472.Contact Information
Primary practice address
3121 S Moody Ave Ste 185
Portland OR 97239-4505
Phone: (503) 453-5472
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 1595 | Oregon |
Profile Details
| NPI number | 1326196940 |
|---|---|
| LBN Legal business name | Gil-Kashiwabara, Eleanor |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 8th, 2007 |
| Last updated | Dec 11th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326196940 | NPPES |
| Oregon | MEDICAID | 026485 |
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