La Rocca-Carrillo, Camille Domenica

La Rocca-Carrillo, Camille Domenica is an individual health care provider with primary practice located at 409 Sw Mt Mazama St , Mcminnville OR 97128-5572. She recently has only one registered license in Nursing Service Related Providers / Doula, which is considered as her primary health care specialty. La Rocca-Carrillo, Camille Domenica can be contacted via phone (503) 583-6330.

Contact Information

Primary practice address
409 Sw Mt Mazama St Mcminnville OR 97128-5572
Phone: (503) 583-6330
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Doula 374J00000X 110322 Oregon

Profile Details

NPI number 1497525596
LBN Legal business name La Rocca-Carrillo, Camille Domenica
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2024
Last updated Jan 9th, 2024 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1497525596 NPPES
Oregon MEDICAID 110322

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