Charlton, Amy

Charlton, Amy is an individual health care provider with primary practice located at 200 Ne Mother Joseph Pl Suite 110, Vancouver WA 98664-3299. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, which is considered as her primary health care specialty. Charlton, Amy can be contacted via phone (360) 254-6161.

Contact Information

Primary practice address
200 Ne Mother Joseph Pl Suite 110 Vancouver WA 98664-3299
Phone: (360) 254-6161
Fax: (360) 449-1139
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X 997225 Oregon
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X OT00002353 Washington

Profile Details

NPI number 1255315735
LBN Legal business name Charlton, Amy
Credentials OTR, CHT
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Oct 23rd, 2009 - 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 1255315735 NPPES
Washington Other 101860 WA L&I
Washington MEDICAID 231755 WA L&I
Washington MEDICAID 8419871 WA L&I
Washington Other 098565005 WA L&I

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