Deyerle, Virginia M
Deyerle, Virginia M is an individual health care provider with primary practice located at 420 Ne 5Th St , Mcminnville OR 97128-4603. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Deyerle, Virginia M can be contacted via phone (503) 434-7462.Contact Information
Primary practice address
420 Ne 5Th St
Mcminnville OR 97128-4603
Phone: (503) 434-7462
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1194854141 |
|---|---|
| LBN Legal business name | Deyerle, Virginia M |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 5th, 2007 |
| Last updated | Aug 11th, 2009 - about 15 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 | 1194854141 | NPPES |
| Oregon | Other | STB-T-10130005 | OREGON HEALTH LICENSING SEX OFFENDER TREATMENT BOARD |
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