Gump, Nathaniel William
Gump, Nathaniel William is an sole proprietor health care provider with primary practice located at 408 Sw Monroe Ave Ste M236 , Corvallis OR 97333-7210. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Gump, Nathaniel William can be contacted via phone (541) 250-0143.Contact Information
Primary practice address
408 Sw Monroe Ave Ste M236
Corvallis OR 97333-7210
Phone: (541) 250-0143
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 2738-57 | Wisconsin |
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 2967 | Oregon |
Profile Details
| NPI number | 1265714133 |
|---|---|
| LBN Legal business name | Gump, Nathaniel William |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 15th, 2011 |
| Last updated | Oct 23rd, 2019 - 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.
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