Cloudt, Amy
Cloudt, Amy is an sole proprietor health care provider with primary practice located at 3600 13Th St , Baker City OR 97814. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Cloudt, Amy can be contacted via phone (541) 523-9559.Contact Information
Primary practice address
3600 13Th St
Baker City OR 97814
Phone: (541) 523-9559
Fax: (541) 523-8067
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 19-03-31 | Oregon |
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 14-09-02 | Oregon |
Profile Details
NPI number | 1003278599 |
---|---|
LBN Legal business name | Cloudt, Amy |
Credentials | CADC I |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 23rd, 2016 |
Last updated | Jun 30th, 2023 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1003278599 | NPPES |
Oregon | MEDICAID | 500707005 |
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