Moen, Jake

Moen, Jake is an individual health care provider with primary practice located at 702 Sunset Dr , Ontario OR 97914-3121. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Moen, Jake can be contacted via phone (541) 889-9167.

Contact Information

Primary practice address
702 Sunset Dr Ontario OR 97914-3121
Phone: (541) 889-9167
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1619424488
LBN Legal business name Moen, Jake
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2016
Last updated Sep 8th, 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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