O'Rourke, Ivy

O'Rourke, Ivy is an individual health care provider with primary practice located at 340 B Ave , Lake Oswego OR 97034-3012. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. O'Rourke, Ivy can be contacted via phone (503) 303-7212.

Contact Information

Primary practice address
340 B Ave Lake Oswego OR 97034-3012
Phone: (503) 303-7212
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1912574914
LBN Legal business name O'Rourke, Ivy
Credentials BT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2021
Last updated Jun 8th, 2021 - about 5 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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