Caudill, Amy

Caudill, Amy is an individual health care provider with primary practice located at 850 Sw 4Th St , Madras OR 97741-9628. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Caudill, Amy can be contacted via phone (541) 475-6575.

Contact Information

Primary practice address
850 Sw 4Th St Madras OR 97741-9628
Fax: (541) 504-1195
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X THW000003653 Oregon

Profile Details

NPI number 1750942975
LBN Legal business name Caudill, Amy
Credentials PEER SUPPORT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2019
Last updated Jun 27th, 2019 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1750942975 NPPES
Oregon Other THW000003653 PEER SUPORT

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