Kaufmann, Jill R
Kaufmann, Jill R is an individual health care provider with primary practice located at 2577 Ne Courtney Dr , Bend OR 97701-7638. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Kaufmann, Jill R can be contacted via phone (541) 322-7500.Contact Information
Primary practice address
2577 Ne Courtney Dr
Bend OR 97701-7638
Phone: (541) 322-7500
Fax: (541) 322-7565
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 05-0008 | Kentucky |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | T0957 | Oregon |
Profile Details
| NPI number | 1497805501 |
|---|---|
| LBN Legal business name | Kaufmann, Jill R |
| Credentials | MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2007 |
| Last updated | Jul 31st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497805501 | NPPES |
| Kentucky | MEDICAID | 30615058 |
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