Drill, Jan Reatha

Drill, Jan Reatha is an individual health care provider with primary practice located at 4838 49Th Ave Ne , Salem OR 97305-3304. She recently has only one registered license in Nursing Service Providers / Community Health, which is considered as her primary health care specialty. Drill, Jan Reatha can be contacted via phone (503) 463-6584.

Contact Information

Primary practice address
4838 49Th Ave Ne Salem OR 97305-3304
Fax: (503) 463-6584
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Community Health 163WC1500X Oregon

Profile Details

NPI number 1538206115
LBN Legal business name Drill, Jan Reatha
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2007
Last updated Jul 9th, 2007 - about 17 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 1538206115 NPPES
Oregon MEDICAID 098345

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