Hafez-Triem, Rukshana

Hafez-Triem, Rukshana is an individual health care provider with primary practice located at 617 Ne Davis St , Mcminnville OR 97128-4716. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Hafez-Triem, Rukshana can be contacted via phone (503) 472-4020.

Contact Information

Primary practice address
617 Ne Davis St Mcminnville OR 97128-4716
Phone: (503) 472-4020
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1851715866
LBN Legal business name Hafez-Triem, Rukshana
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 11th, 2014
Last updated Dec 9th, 2014 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1851715866 NPPES
Oregon MEDICAID 1326056433

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