Klein, Susan Marie
Klein, Susan Marie is an individual health care provider with primary practice located at 182 Sw Academy St Suite 304, Dallas OR 97338-1922. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Klein, Susan Marie can be contacted via phone (503) 623-9289.Contact Information
Primary practice address
182 Sw Academy St Suite 304
Dallas OR 97338-1922
Phone: (503) 623-9289
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 04-R-19 | Oregon |
Profile Details
| NPI number | 1023239761 |
|---|---|
| LBN Legal business name | Klein, Susan Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1023239761 | NPPES |
| Oregon | Other | 04-R-19 | CADC-II |
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