Christensen, Matthew A

Christensen, Matthew A is an individual health care provider with primary practice located at 1501 6Th St , La Grande OR 97850-2419. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Christensen, Matthew A can be contacted via phone (541) 962-0162.

Contact Information

Primary practice address
1501 6Th St La Grande OR 97850-2419
Phone: (541) 962-0162
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X THW000004201 Oregon

Profile Details

NPI number 1396367280
LBN Legal business name Christensen, Matthew A
Credentials CRM
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2020
Last updated May 13th, 2020 - 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 1396367280 NPPES
Oregon Other THW000004201 THW NUMBER

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