Equall Lacombe, Amanda Mae
Equall Lacombe, Amanda Mae is an individual health care provider with primary practice located at 290 Moyer Ln Nw , Salem OR 97304-3822. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Equall Lacombe, Amanda Mae can be contacted via phone (503) 370-8990.Contact Information
Primary practice address
290 Moyer Ln Nw
Salem OR 97304-3822
Phone: (503) 370-8990
Fax: (503) 363-4214
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X |
Profile Details
| NPI number | 1144415191 |
|---|---|
| LBN Legal business name | Equall Lacombe, Amanda Mae |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2007 |
| Last updated | Feb 26th, 2010 - about 14 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 | 1144415191 | NPPES |
| Oregon | MEDICAID | 195164 |
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