Pethick, Stephen
Pethick, Stephen is an individual health care provider with primary practice located at 401 E 10Th Ave Suite 530, Eugene OR 97401-3367. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Pethick, Stephen can be contacted via phone (541) 687-7787.Contact Information
Primary practice address
401 E 10Th Ave Suite 530
Eugene OR 97401-3367
Phone: (541) 687-7787
Fax: (855) 646-7433
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1569 | Oregon |
Profile Details
| NPI number | 1356404172 |
|---|---|
| LBN Legal business name | Pethick, Stephen |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 19th, 2006 |
| Last updated | Mar 29th, 2021 - about 5 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 | 1356404172 | NPPES |
| Oregon | Other | 298598 | OMAP |
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