Hoccom, Ethan William
Hoccom, Ethan William is an sole proprietor health care provider with primary practice located at 1527 Ne Lamesa Place 17Th St , Gresham OR 97030. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Hoccom, Ethan William can be contacted via phone (971) 337-4111.Contact Information
Primary practice address
1527 Ne Lamesa Place 17Th St
Gresham OR 97030
Phone: (971) 337-4111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | Oregon |
Profile Details
| NPI number | 1710335484 |
|---|---|
| LBN Legal business name | Hoccom, Ethan William |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 2nd, 2016 |
| Last updated | Jun 2nd, 2016 - about 10 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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