Amundson, Anna-Liese

Amundson, Anna-Liese is an sole proprietor health care provider with primary practice located at 824 E Jackson St Ste A , Medford OR 97504-6745. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Amundson, Anna-Liese can be contacted via phone (458) 225-9225.

Contact Information

Primary practice address
824 E Jackson St Ste A Medford OR 97504-6745
Phone: (458) 225-9225
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 24474 Oregon

Profile Details

NPI number 1770053100
LBN Legal business name Amundson, Anna-Liese
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 28th, 2018
Last updated Nov 28th, 2018 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1770053100 NPPES
Oregon Other BC000R3R JACKSON CARE

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