Champagne, Serina Marie

Champagne, Serina Marie is an individual health care provider with primary practice located at 702 Sunset Dr , Ontario OR 97914-3121. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is her primary health care specialty. Champagne, Serina Marie can be contacted via phone (541) 889-9167.

Contact Information

Primary practice address
702 Sunset Dr Ontario OR 97914-3121
Phone: (541) 889-9167
Fax: (541) 889-7873
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1174110514
LBN Legal business name Champagne, Serina Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2020
Last updated Sep 20th, 2022 - 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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