Kelly, Tim Ray
Kelly, Tim Ray is an sole proprietor health care provider with primary practice located at 1221 Nw Highway 101 Ste A , Lincoln City OR 97367-3351. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Kelly, Tim Ray can be contacted via phone (442) 244-1336.Contact Information
Primary practice address
1221 Nw Highway 101 Ste A
Lincoln City OR 97367-3351
Phone: (442) 244-1336
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X | THW000106995 | Oregon |
Profile Details
| NPI number | 1003535386 |
|---|---|
| LBN Legal business name | Kelly, Tim Ray |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 22nd, 2022 |
| Last updated | Aug 22nd, 2022 - about 3 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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