Gonnerman, Hailey Anne
Gonnerman, Hailey Anne is an sole proprietor health care provider with primary practice located at 5319 Sw Westgate Dr Ste 113 , Portland OR 97221-2432. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Gonnerman, Hailey Anne can be contacted via phone (503) 956-5520.Contact Information
Primary practice address
5319 Sw Westgate Dr Ste 113
Portland OR 97221-2432
Phone: (503) 956-5520
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | R6906 | Oregon |
Profile Details
| NPI number | 1043924483 |
|---|---|
| LBN Legal business name | Gonnerman, Hailey Anne |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 10th, 2023 |
| Last updated | Jan 10th, 2023 - about last year |
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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