Padgett, Wade Austin

Padgett, Wade Austin is an individual health care provider with primary practice located at 2130 Sw 5Th Ave Ste 210 , Portland OR 97201-4938. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Nursing Service Related Providers / Adult Companion. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Padgett, Wade Austin can be contacted via phone (503) 239-5952.

Contact Information

Primary practice address
2130 Sw 5Th Ave Ste 210 Portland OR 97201-4938
Phone: (503) 239-5952
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Nursing Service Related Providers / Adult Companion 372600000X

Profile Details

NPI number 1104972009
LBN Legal business name Padgett, Wade Austin
Credentials MA, QMHP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2007
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1104972009 NPPES
Oregon Other 101YM00000X ADULT COMPANION
Oregon Other 1104972009 ADULT COMPANION

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