Perry, Jacob

Perry, Jacob is an individual health care provider with primary practice located at 1312 Sw Washington St , Portland OR 97205-2327. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Perry, Jacob can be contacted via phone (503) 535-1151.

Contact Information

Primary practice address
1312 Sw Washington St Portland OR 97205-2327
Phone: (503) 535-1151
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1013274257
LBN Legal business name Perry, Jacob
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2012
Last updated Apr 12th, 2012 - about 14 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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