Simones, Jessica
Simones, Jessica is an sole proprietor health care provider with primary practice located at 10362 Sw Mcdonald St , Tigard OR 97224-4863. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Simones, Jessica can be contacted via phone (503) 624-0312.Contact Information
Primary practice address
10362 Sw Mcdonald St
Tigard OR 97224-4863
Phone: (503) 624-0312
Fax: (503) 639-3973
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | Oregon |
Profile Details
| NPI number | 1255882775 |
|---|---|
| LBN Legal business name | Simones, Jessica |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 19th, 2016 |
| Last updated | Oct 19th, 2016 - about 10 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 | 1255882775 | NPPES |
| Oregon | MEDICAID | 101YA0400X |
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