Sellers, Tina
Sellers, Tina is an sole proprietor health care provider with primary practice located at 6605 Se Lake Rd , Milwaukie OR 97222-2161. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Sellers, Tina can be contacted via phone (503) 655-8401.Contact Information
Primary practice address
6605 Se Lake Rd
Milwaukie OR 97222-2161
Phone: (503) 655-8401
Fax: (503) 655-8429
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCSW88652 | California |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | L8395 | Oregon |
Profile Details
| NPI number | 1134503253 |
|---|---|
| LBN Legal business name | Sellers, Tina |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 18th, 2015 |
| Last updated | Mar 17th, 2026 - about 7 months 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 | 1134503253 | NPPES |
| Oregon | MEDICAID | 500774802 |
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