Sanchez, Angelica Maria
Sanchez, Angelica Maria is an sole proprietor health care provider with primary practice located at 1217 Ne Burnside Rd Ste 401B , Gresham OR 97030-5705. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Sanchez, Angelica Maria can be contacted via phone (503) 714-6426.Contact Information
Primary practice address
1217 Ne Burnside Rd Ste 401B
Gresham OR 97030-5705
Phone: (503) 714-6426
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 13-12-25 | Oregon |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | L6367 | Oregon |
Profile Details
| NPI number | 1669736096 |
|---|---|
| LBN Legal business name | Sanchez, Angelica Maria |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 29th, 2012 |
| Last updated | Dec 13th, 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 | 1669736096 | NPPES |
| Oregon | MEDICAID | 500671951 |
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