Nilson, Stacia Lynnae

Nilson, Stacia Lynnae is an sole proprietor health care provider with primary practice located at 2525 Nw Lovejoy St Suite 211, Portland OR 97210-2859. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Nilson, Stacia Lynnae can be contacted via phone (503) 619-9587.

Contact Information

Primary practice address
2525 Nw Lovejoy St Suite 211 Portland OR 97210-2859
Fax:
Website:

Health care specialties

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

Profile Details

NPI number 1578738167
LBN Legal business name Nilson, Stacia Lynnae
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 24th, 2008
Last updated May 23rd, 2013 - about 13 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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