Pea, Robert Timothy

Pea, Robert Timothy is an sole proprietor health care provider with primary practice located at 11089 Se Westchester Ave , Happy Valley OR 97086-7092. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Pea, Robert Timothy can be contacted via phone (503) 307-5203.

Contact Information

Primary practice address
11089 Se Westchester Ave Happy Valley OR 97086-7092
Phone: (503) 307-5203
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 11-03-70 Oregon

Profile Details

NPI number 1720379290
LBN Legal business name Pea, Robert Timothy
Credentials CADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 2nd, 2011
Last updated May 2nd, 2011 - about 15 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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