Everett, Kristin M
Everett, Kristin M is an individual health care provider with primary practice located at 2525 12Th St Se Ste 260 , Salem OR 97302-2282. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Everett, Kristin M can be contacted via phone (033) 914-1825.Contact Information
Primary practice address
2525 12Th St Se Ste 260
Salem OR 97302-2282
Phone: (033) 914-1825
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 47999 | Colorado |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD212644 | Oregon |
Profile Details
| NPI number | 1679566111 |
|---|---|
| LBN Legal business name | Everett, Kristin M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2005 |
| Last updated | Mar 7th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679566111 | NPPES |
| Colorado | Other | 47999 | STATE LICENSE |
| Colorado | Other | MD212644 | STATE LICENSE |
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