Anderson, Angela Antonia

Anderson, Angela Antonia is an individual health care provider with primary practice located at 1003 E Main St Ste 104 , Medford OR 97504. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is her primary health care specialty. Anderson, Angela Antonia can be contacted via phone (541) 779-1282.

Contact Information

Primary practice address
1003 E Main St Ste 104 Medford OR 97504
Phone: (541) 779-1282
Fax: (541) 608-2888
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X THW000003687 Oregon
Other Service Providers / Peer Specialist 175T00000X THW000003687 Oregon

Profile Details

NPI number 1851759245
LBN Legal business name Anderson, Angela Antonia
Credentials PSS
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2016
Last updated Jan 28th, 2020 - about 4 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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