Distante, Meredith Jill
Distante, Meredith Jill is an individual health care provider with primary practice located at 415 Ne Birch Street , Camas WA 98607. She recently has only one registered license in Other Service Providers / Naturopath, which is considered as her primary health care specialty. Distante, Meredith Jill can be contacted via phone (360) 834-2732.Contact Information
Primary practice address
415 Ne Birch Street
Camas WA 98607
Phone: (360) 834-2732
Fax: (360) 834-3063
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Naturopath | 175F00000X | NT00001485 | Washington |
| Other Service Providers / Naturopath | 175F00000X | 1138 | Oregon |
Profile Details
| NPI number | 1114969847 |
|---|---|
| LBN Legal business name | Distante, Meredith Jill |
| Credentials | N.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2006 |
| Last updated | Aug 16th, 2012 - about 12 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 | 1114969847 | NPPES |
| Oregon | Other | 229268 | OMAP PROVIDER NUMBER |
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