Smith, Alycia
Smith, Alycia is an individual health care provider with primary practice located at 510 Ne Roberts Ave Ste 200 , Gresham OR 97030-7484. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Smith, Alycia can be contacted via phone (971) 220-2496.Contact Information
Primary practice address
510 Ne Roberts Ave Ste 200
Gresham OR 97030-7484
Phone: (971) 220-2496
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | CG60615744 | Washington |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LW60824262 | Washington |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | L7466 | Oregon |
Profile Details
| NPI number | 1679939920 |
|---|---|
| LBN Legal business name | Smith, Alycia |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 31st, 2015 |
| Last updated | Nov 29th, 2022 - about 4 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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