Edwards, Kasey
Edwards, Kasey is an individual health care provider with primary practice located at 1132 Sw 13Th Ave , Portland OR 97205-1703. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Edwards, Kasey can be contacted via phone (503) 593-7571.Contact Information
Primary practice address
1132 Sw 13Th Ave
Portland OR 97205-1703
Phone: (503) 593-7571
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
| NPI number | 1174912463 |
|---|---|
| LBN Legal business name | Edwards, Kasey |
| Credentials | C.R.M. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 2015 |
| Last updated | Jan 9th, 2015 - about 10 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 | 1174912463 | NPPES |
| Oregon | MEDICAID | 1568401347 |
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