Carpenter, Richard A

Carpenter, Richard A is an sole proprietor health care provider with primary practice located at 600 Nw 11Th St Suite E27, Hermiston OR 97838-8602. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Carpenter, Richard A can be contacted via phone (541) 567-1750.

Contact Information

Primary practice address
600 Nw 11Th St Suite E27 Hermiston OR 97838-8602
Phone: (541) 567-1750
Fax: (541) 567-5936
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD9027 Oregon

Profile Details

NPI number 1851387492
LBN Legal business name Carpenter, Richard A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2005
Last updated Feb 20th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851387492 NPPES
Washington Other MD00030078 MEDICAL LICENSE
Washington MEDICAID 278770 MEDICAL LICENSE
Washington Other 0019641 MEDICAL LICENSE
Washington Other MD9027 MEDICAL LICENSE

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