Bronson, Peggy Ellen
Bronson, Peggy Ellen is an individual health care provider with primary practice located at 73265 Confederated Way , Pendleton OR 97801. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Bronson, Peggy Ellen can be contacted via phone (541) 966-9830.Contact Information
Primary practice address
73265 Confederated Way
Pendleton OR 97801
Phone: (541) 966-9830
Fax: (541) 278-7572
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 03-07-65 | Oregon |
Profile Details
| NPI number | 1407969868 |
|---|---|
| LBN Legal business name | Bronson, Peggy Ellen |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 17th, 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 | 1407969868 | NPPES |
| Oregon | MEDICAID | 171037 |
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