Carlstrom, Taylor
Carlstrom, Taylor is an individual health care provider with primary practice located at 627 Ne Evans St , Mcminnville OR 97128-3923. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Carlstrom, Taylor can be contacted via phone (503) 434-7523.Contact Information
Primary practice address
627 Ne Evans St
Mcminnville OR 97128-3923
Phone: (503) 434-7523
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 5052 | North Dakota |
Profile Details
| NPI number | 1003217795 |
|---|---|
| LBN Legal business name | Carlstrom, Taylor |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2014 |
| Last updated | Jul 21st, 2022 - about 2 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 | 1003217795 | NPPES |
| North Dakota | MEDICAID | 74257 |
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