Dix, Michelle Lynn

Dix, Michelle Lynn is an sole proprietor health care provider with primary practice located at 3425 13Th St , Baker City OR 97814-1340. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is her primary health care specialty. Dix, Michelle Lynn can be contacted via phone (541) 523-7400.

Contact Information

Primary practice address
3425 13Th St Baker City OR 97814-1340
Phone: (541) 523-7400
Fax: (541) 523-4937
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X 22-QMHA-I-003286 Oregon
Other Service Providers / Community Health Worker 172V00000X THW0047 Oregon
Other Service Providers / Community Health Worker 172V00000X THW000000007 Oregon

Profile Details

NPI number 1528691680
LBN Legal business name Dix, Michelle Lynn
Credentials CHW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 18th, 2020
Last updated Jul 13th, 2023 - about 2 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 1528691680 NPPES
Oregon Other 4276768 DRIVERS LICENSE
Oregon MEDICAID 500776546 DRIVERS LICENSE
Oregon MEDICAID 500813182 DRIVERS LICENSE

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