Kelly, Toneasha

Kelly, Toneasha is an sole proprietor health care provider with primary practice located at 421 Sw Oak St Ste 520 , Portland OR 97204-1810. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Kelly, Toneasha can be contacted via phone (503) 360-2647.

Contact Information

Primary practice address
421 Sw Oak St Ste 520 Portland OR 97204-1810
Phone: (503) 360-2647
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1457724544
LBN Legal business name Kelly, Toneasha
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 11th, 2015
Last updated Nov 11th, 2015 - about 11 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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