Banderas, Marina
Banderas, Marina is an individual health care provider with primary practice located at 1174 Cornucopia St Nw Ste 240 , Salem OR 97304-3193. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Banderas, Marina can be contacted via phone (971) 301-4411.Contact Information
Primary practice address
1174 Cornucopia St Nw Ste 240
Salem OR 97304-3193
Phone: (971) 301-4411
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X | THW000109713 | Oregon |
Profile Details
| NPI number | 1508638958 |
|---|---|
| LBN Legal business name | Banderas, Marina |
| Credentials | CHW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2023 |
| Last updated | Oct 27th, 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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