Bazor, Kristin A
Bazor, Kristin A is an individual health care provider with primary practice located at 4855 Sw Western Ave , Beaverton OR 97005-3499. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Bazor, Kristin A can be contacted via phone (503) 626-4148.Contact Information
Primary practice address
4855 Sw Western Ave
Beaverton OR 97005-3499
Phone: (503) 626-4148
Fax: (503) 626-4412
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | H2588 | Oregon |
Profile Details
| NPI number | 1073615316 |
|---|---|
| LBN Legal business name | Bazor, Kristin A |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 5th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073615316 | NPPES |
| Oregon | Other | 334 | KAISER PERMANENTE HEALTH |
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