St Clair, Karen
St Clair, Karen is an sole proprietor health care provider with primary practice located at 2625 Se Hawthorne Blvd Suite H, Portland OR 97214-2941. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. St Clair, Karen can be contacted via phone (503) 407-0421.Contact Information
Primary practice address
2625 Se Hawthorne Blvd Suite H
Portland OR 97214-2941
Phone: (503) 407-0421
Fax: (503) 235-5396
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | L2197 | Oregon |
Profile Details
| NPI number | 1124017199 |
|---|---|
| LBN Legal business name | St Clair, Karen |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 20th, 2005 |
| Last updated | Apr 23rd, 2010 - about 16 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 | 1124017199 | NPPES |
| Oregon | Other | R148851 | MEDICARE PTAN |
| Oregon | MEDICAID | 500604645 | MEDICARE PTAN |
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