Corey, Tina Ann

Corey, Tina Ann is an individual health care provider with primary practice located at 706 S I St , Lakeview OR 97630-1622. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Corey, Tina Ann can be contacted via phone (541) 947-6021.

Contact Information

Primary practice address
706 S I St Lakeview OR 97630-1622
Phone: (541) 947-6021
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Clinical 1041C0700X L5327 Oregon

Profile Details

NPI number 1346419959
LBN Legal business name Corey, Tina Ann
Credentials M.S.W., L.C.S.W.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2008
Last updated May 4th, 2020 - about 4 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 1346419959 NPPES
Oregon MEDICAID 500698737

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