Bickert, Lisa Ann

Bickert, Lisa Ann is an individual health care provider with primary practice located at 3206 Onyx Ave. , Klamath Falls OR 97603. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Bickert, Lisa Ann can be contacted via phone (541) 891-0194.

Contact Information

Primary practice address
3206 Onyx Ave. Klamath Falls OR 97603
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X
Other Service Providers / Peer Specialist 175T00000X 21-CRM-597 Oregon

Profile Details

NPI number 1487237533
LBN Legal business name Bickert, Lisa Ann
Credentials PEER SUPPORT SPECIAL
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2021
Last updated Feb 22nd, 2024 - about last year

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 1487237533 NPPES
Oregon MEDICAID 500803626

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