Fargo, Lisa A

Fargo, Lisa A is an sole proprietor health care provider with primary practice located at 3800 Sw Cedar Hills Blvd #203, Beaverton OR 97005-2027. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Fargo, Lisa A can be contacted via phone (971) 645-2257.

Contact Information

Primary practice address
3800 Sw Cedar Hills Blvd #203 Beaverton OR 97005-2027
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 11230 Oregon

Profile Details

NPI number 1699874081
LBN Legal business name Fargo, Lisa A
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2006
Last updated Jul 8th, 2007 - about 18 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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