Oberman, Kathleen Virginia
Oberman, Kathleen Virginia is an sole proprietor health care provider with primary practice located at 4101 Ne Division St Ste 100 , Gresham OR 97030-4617. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Oberman, Kathleen Virginia can be contacted via phone (503) 666-3808.Contact Information
Primary practice address
4101 Ne Division St Ste 100
Gresham OR 97030-4617
Phone: (503) 666-3808
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1992044549 |
|---|---|
| LBN Legal business name | Oberman, Kathleen Virginia |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 1st, 2013 |
| Last updated | Feb 1st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992044549 | NPPES |
| Oregon | MEDICAID | 274147 |
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