Knutson, Mary
Knutson, Mary is an sole proprietor health care provider with primary practice located at 3641 Klindt Dr Department Of Human Services, The Dalles OR 97058-3565. She recently has only one registered license in Nursing Service Providers / Community Health, which is considered as her primary health care specialty. Knutson, Mary can be contacted via phone (541) 298-4114.Contact Information
Primary practice address
3641 Klindt Dr Department Of Human Services
The Dalles OR 97058-3565
Phone: (541) 298-4114
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Community Health | 163WC1500X | 200440802RN | Oregon |
Profile Details
| NPI number | 1487663316 |
|---|---|
| LBN Legal business name | Knutson, Mary |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 7th, 2006 |
| Last updated | Feb 1st, 2012 - about 13 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 | 1487663316 | NPPES |
| Oregon | MEDICAID | 098372 |
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