Zondervan, Tom
Zondervan, Tom is an individual health care provider with primary practice located at 11211 Se 82Nd Ave Ste O , Happy Valley OR 97086-7641. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Zondervan, Tom can be contacted via phone (503) 742-5335.Contact Information
Primary practice address
11211 Se 82Nd Ave Ste O
Happy Valley OR 97086-7641
Phone: (503) 742-5335
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | C7315 | Oregon |
Profile Details
| NPI number | 1922144930 |
|---|---|
| LBN Legal business name | Zondervan, Tom |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 29th, 2007 |
| Last updated | May 25th, 2023 - about 2 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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