Blanton, Kacie M

Blanton, Kacie M is an individual health care provider with primary practice located at 2995 Ryan Dr Se Ste 200 , Salem OR 97301-5157. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Blanton, Kacie M can be contacted via phone (503) 371-7701.

Contact Information

Primary practice address
2995 Ryan Dr Se Ste 200 Salem OR 97301-5157
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1730846445
LBN Legal business name Blanton, Kacie M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2021
Last updated Nov 17th, 2021 - 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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