Dorman, Angela Marie

Dorman, Angela Marie 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 / Peer Specialist, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Dorman, Angela Marie 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) 523-4927
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X THW000106401 Oregon
Other Service Providers / Case Manager/Care Coordinator 171M00000X 24-QMHA-I-004240 Oregon

Profile Details

NPI number 1679229991
LBN Legal business name Dorman, Angela Marie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 24th, 2022
Last updated Apr 8th, 2024 - 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 1679229991 NPPES
Idaho Other ZH457070F DRIVERS LICENSE
Idaho MEDICAID 500803898 DRIVERS LICENSE
Idaho MEDICAID 500804950 DRIVERS LICENSE

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