Cradit, Michelle Lynn
Cradit, Michelle Lynn is an sole proprietor health care provider with primary practice located at 640 Ne 3Rd St , Mcminnville OR 97128-4630. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Cradit, Michelle Lynn can be contacted via phone (503) 474-5509.Contact Information
Primary practice address
640 Ne 3Rd St
Mcminnville OR 97128-4630
Phone: (503) 474-5509
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X |
Profile Details
| NPI number | 1013553700 |
|---|---|
| LBN Legal business name | Cradit, Michelle Lynn |
| Credentials | PSS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 18th, 2019 |
| Last updated | Nov 18th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013553700 | NPPES |
| Oregon | Other | THW000001779 | OREGON HEALTH AUTHORITY |
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