Flores, Maria Lise
Flores, Maria Lise is an sole proprietor health care provider with primary practice located at 400 E Evergreen Blvd Ste 102 , Vancouver WA 98660-3263. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Flores, Maria Lise can be contacted via phone (564) 232-8225.Contact Information
Primary practice address
400 E Evergreen Blvd Ste 102
Vancouver WA 98660-3263
Phone: (564) 232-8225
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Health | 103TH0004X | 4077 | Arizona |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 4077 | Arizona |
Profile Details
NPI number | 1023347218 |
---|---|
LBN Legal business name | Flores, Maria Lise |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 17th, 2009 |
Last updated | Oct 29th, 2022 - 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 | 1023347218 | NPPES |
Other | 12068811 | CAQH |
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