Jessen-Iverson, Tamera
Jessen-Iverson, Tamera is an individual health care provider with primary practice located at 742 Hawthorne Ave Ne , Salem OR 97301-4675. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Jessen-Iverson, Tamera can be contacted via phone (503) 559-3555.Contact Information
Primary practice address
742 Hawthorne Ave Ne
Salem OR 97301-4675
Phone: (503) 559-3555
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 109 | Oregon |
Profile Details
| NPI number | 1245591437 |
|---|---|
| LBN Legal business name | Jessen-Iverson, Tamera |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 4th, 2012 |
| Last updated | Jun 4th, 2012 - about 14 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 | 1245591437 | NPPES |
| Oregon | MEDICAID | 023008 |
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