Ullom, Catherine
Ullom, Catherine is an individual health care provider with primary practice located at 17882 Se Mcloughlin Blvd , Milwaukie OR 97267-6103. 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. Ullom, Catherine can be contacted via phone (503) 353-9415.Contact Information
Primary practice address
17882 Se Mcloughlin Blvd
Milwaukie OR 97267-6103
Phone: (503) 353-9415
Fax: (503) 353-9409
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | Oregon |
Profile Details
| NPI number | 1154782746 |
|---|---|
| LBN Legal business name | Ullom, Catherine |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 10th, 2016 |
| Last updated | Mar 10th, 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 | 1154782746 | NPPES |
| Oregon | MEDICAID | 292910 |
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