Jarrard, Anthony Dion

Jarrard, Anthony Dion is an individual health care provider with primary practice located at 620 Ne 2Nd St , Gresham OR 97030-7514. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Mental Health. Other Service Providers / Peer Specialist is his primary health care specialty. Jarrard, Anthony Dion can be contacted via phone (503) 224-1044.

Contact Information

Primary practice address
620 Ne 2Nd St Gresham OR 97030-7514
Phone: (503) 224-1044
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X 3210 Oregon
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 25-QMHA-I-005159 Oregon

Profile Details

NPI number 1235785502
LBN Legal business name Jarrard, Anthony Dion
Credentials PSS/QMHAI
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2019
Last updated Aug 17th, 2026 - about 2 months 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1235785502 NPPES
Oregon MEDICAID 500768570
Oregon MEDICAID 500770905

Popular Providers