Inthavong, Diana Raquel

Inthavong, Diana Raquel is an individual health care provider with primary practice located at 702 Sunset Dr , Ontario OR 97914-3121. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Inthavong, Diana Raquel can be contacted via phone (541) 889-9167.

Contact Information

Primary practice address
702 Sunset Dr Ontario OR 97914-3121
Fax: (541) 889-7873
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1346719317
LBN Legal business name Inthavong, Diana Raquel
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2018
Last updated May 12th, 2020 - about 5 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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