Devine, Kaitlin Elizabeth

Devine, Kaitlin Elizabeth is an sole proprietor health care provider with primary practice located at 1505 Water St Ne , Salem OR 97301-6467. She recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as her primary health care specialty. Devine, Kaitlin Elizabeth can be contacted via phone (503) 507-6443.

Contact Information

Primary practice address
1505 Water St Ne Salem OR 97301-6467
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X 20599 Oregon

Profile Details

NPI number 1780141390
LBN Legal business name Devine, Kaitlin Elizabeth
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 1st, 2019
Last updated Mar 1st, 2019 - 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 1780141390 NPPES
Oregon Other 20599 MASSAGE THERAPY

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