Camacho, Misty
Camacho, Misty is an sole proprietor health care provider with primary practice located at 1113 Progress Dr , Medford OR 97504-5201. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Camacho, Misty can be contacted via phone (541) 512-3900.Contact Information
Primary practice address
1113 Progress Dr
Medford OR 97504-5201
Phone: (541) 512-3900
Fax: (541) 414-1175
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | H6658 | Oregon |
Profile Details
| NPI number | 1588095053 |
|---|---|
| LBN Legal business name | Camacho, Misty |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 9th, 2013 |
| Last updated | Sep 25th, 2020 - about 5 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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