Smith, Jillian

Smith, Jillian is an individual health care provider with primary practice located at 2205 Ne Columbia Blvd , Portland OR 97211-1930. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Smith, Jillian can be contacted via phone (503) 963-7773.

Contact Information

Primary practice address
2205 Ne Columbia Blvd Portland OR 97211-1930
Phone: (503) 963-7773
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1013945294
LBN Legal business name Smith, Jillian
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Jul 8th, 2007 - about 19 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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