Warnock, Gary D

Warnock, Gary D is an sole proprietor health care provider with primary practice located at 3910 Se Stark St , Portland OR 97214-3214. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Warnock, Gary D can be contacted via phone (503) 235-8655.

Contact Information

Primary practice address
3910 Se Stark St Portland OR 97214-3214
Phone: (503) 235-8655
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1740484286
LBN Legal business name Warnock, Gary D
Credentials CADC I
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 11th, 2007
Last updated Feb 16th, 2017 - about 9 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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