Gonzalez-Kensler, Marco
Gonzalez-Kensler, Marco is an sole proprietor health care provider with primary practice located at 4455 Ne Highway 20 , Corvallis OR 97330-9695. He recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as his primary health care specialty. Gonzalez-Kensler, Marco can be contacted via phone (541) 758-5900.Contact Information
Primary practice address
4455 Ne Highway 20
Corvallis OR 97330-9695
Phone: (541) 758-5900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness | 320800000X |
Profile Details
| NPI number | 1760754873 |
|---|---|
| LBN Legal business name | Gonzalez-Kensler, Marco |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 4th, 2012 |
| Last updated | Feb 4th, 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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