Carlyle, Mary C
Carlyle, Mary C is an individual health care provider with primary practice located at 4855 Sw Western Ave , Beaverton OR 97005-3460. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Carlyle, Mary C can be contacted via phone (503) 277-1344.Contact Information
Primary practice address
4855 Sw Western Ave
Beaverton OR 97005-3460
Phone: (503) 277-1344
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | C1168 | Oregon |
Profile Details
NPI number | 1801809355 |
---|---|
LBN Legal business name | Carlyle, Mary C |
Credentials | MS |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 15th, 2006 |
Last updated | Dec 28th, 2021 - about 3 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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