Oliver, Angel Breanna
Oliver, Angel Breanna is an individual health care provider with primary practice located at 115 W 8Th Ave Ste 300 , Eugene OR 97401-2997. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator, Nursing Service Related Providers / Adult Companion, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Oliver, Angel Breanna can be contacted via phone (541) 623-0262.Contact Information
Primary practice address
115 W 8Th Ave Ste 300
Eugene OR 97401-2997
Phone: (541) 623-0262
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | R7256 | Oregon |
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
| Nursing Service Related Providers / Adult Companion | 372600000X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | C7877 | Oregon |
Profile Details
| NPI number | 1144739749 |
|---|---|
| LBN Legal business name | Oliver, Angel Breanna |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2017 |
| Last updated | Apr 1st, 2024 - about 2 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 | 1144739749 | NPPES |
| Oregon | MEDICAID | 500779668 |
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