Lineback, Paul R

Lineback, Paul R is an sole proprietor health care provider with primary practice located at 1299 Nw Ellan St Ste 3 , Roseburg OR 97470-2031. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Lineback, Paul R can be contacted via phone (541) 391-9991.

Contact Information

Primary practice address
1299 Nw Ellan St Ste 3 Roseburg OR 97470-2031
Phone: (541) 391-9991
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LH00004271 Washington
Behavioral Health & Social Service Providers / Professional 101YP2500X C1198 Oregon

Profile Details

NPI number 1679765333
LBN Legal business name Lineback, Paul R
Credentials M.S., LPC, LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2007
Last updated May 18th, 2011 - 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.

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