Lillie, Kristin

Lillie, Kristin is an individual health care provider with primary practice located at 2611 Pringle Rd Se , Salem OR 97302-1533. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, which is considered as her primary health care specialty. Lillie, Kristin can be contacted via phone (503) 588-5330.

Contact Information

Primary practice address
2611 Pringle Rd Se Salem OR 97302-1533
Fax: (503) 540-4473
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 22536 Oregon

Profile Details

NPI number 1639229867
LBN Legal business name Lillie, Kristin
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2007
Last updated Jan 28th, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1639229867 NPPES
Oregon MEDICAID 234462

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