Peacock-Johnson, Jocelyn Ruby

Peacock-Johnson, Jocelyn Ruby is an individual health care provider with primary practice located at 10373 Ne Hancock St Ste 200 , Portland OR 97220-3873. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Peacock-Johnson, Jocelyn Ruby can be contacted via phone (503) 261-6155.

Contact Information

Primary practice address
10373 Ne Hancock St Ste 200 Portland OR 97220-3873
Phone: (503) 261-6155
Fax: (503) 253-8020
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1881713972
LBN Legal business name Peacock-Johnson, Jocelyn Ruby
Credentials BS
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2007
Last updated Jun 3rd, 2008 - about 17 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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