Kash, Laurel Renee
Kash, Laurel Renee is an sole proprietor health care provider with primary practice located at 677 S Lowell St Apt S664 , Portland OR 97239-4816. She recently has 3 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living, Behavioral Disturbances, Other Service Providers / Specialist, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Kash, Laurel Renee can be contacted via phone (503) 997-8296.Contact Information
Primary practice address
677 S Lowell St Apt S664
Portland OR 97239-4816
Phone: (503) 997-8296
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Assisted Living, Behavioral Disturbances | 3104A0630X | 837215 | Oregon |
| Other Service Providers / Specialist | 174400000X | 837215 | Oregon |
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 837215 | Oregon |
Profile Details
| NPI number | 1053072645 |
|---|---|
| LBN Legal business name | Kash, Laurel Renee |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 5th, 2022 |
| Last updated | Jan 5th, 2022 - about 4 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 | 1053072645 | NPPES |
| Oregon | Other | 837215 | EXPRS MEDICAID PROVIDER NUMBER |
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