Denino, Kourtney Raven
Denino, Kourtney Raven is an individual health care provider with primary practice located at 621 W Madrone St , Roseburg OR 97470-3090. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Denino, Kourtney Raven can be contacted via phone (541) 672-2691.Contact Information
Primary practice address
621 W Madrone St
Roseburg OR 97470-3090
Phone: (541) 672-2691
Fax: (833) 299-8415
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 201406969LPN | Oregon |
Profile Details
| NPI number | 1841868015 |
|---|---|
| LBN Legal business name | Denino, Kourtney Raven |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2021 |
| Last updated | Jun 15th, 2021 - about 3 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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