Basargin, Antanida

Basargin, Antanida is an individual health care provider with primary practice located at 1369 N Pacific Hwy Ste 1369 , Woodburn OR 97071-3617. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Basargin, Antanida can be contacted via phone (971) 338-7764.

Contact Information

Primary practice address
1369 N Pacific Hwy Ste 1369 Woodburn OR 97071-3617
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X Oregon

Profile Details

NPI number 1144716382
LBN Legal business name Basargin, Antanida
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2018
Last updated Jul 10th, 2018 - about 8 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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