Ely, Amy

Ely, Amy is an individual health care provider with primary practice located at 1727 Sw Odem Medo Rd , Redmond OR 97756. She recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as her primary health care specialty. Ely, Amy can be contacted via phone (541) 923-7223.

Contact Information

Primary practice address
1727 Sw Odem Medo Rd Redmond OR 97756
Phone: (541) 923-7223
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacy Technician 183700000X

Profile Details

NPI number 1336412253
LBN Legal business name Ely, Amy
Credentials CPHT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2012
Last updated Feb 23rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336412253 NPPES
Oregon Other CPT-0002679 STATE PHARMACIST LICENSE

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