Longshore, Katie
Longshore, Katie is an sole proprietor health care provider with primary practice located at 182 Sw Academy St Ste 333 , Dallas OR 97338-1996. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Longshore, Katie can be contacted via phone (503) 623-9289.Contact Information
Primary practice address
182 Sw Academy St Ste 333
Dallas OR 97338-1996
Phone: (503) 623-9289
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X | ||
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | Oregon |
Profile Details
| NPI number | 1407504418 |
|---|---|
| LBN Legal business name | Longshore, Katie |
| Credentials | QMHA, CRM II, PSS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 17th, 2022 |
| Last updated | May 28th, 2024 - about 7 months 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.
Popular Providers
-
Schram, Barbara J
182 Sw Academy St Ste 304 , Dallas OR 97338-1900 -
Hernandez, Severiano
16140 Ellendale Rd , Dallas OR 97338-9667 -
Paskett, Madison
182 Sw Academy St , Dallas OR 97338 -
Huffendick, Carol R.
182 Sw Academy St Ste 304 , Dallas OR 97338-1900 -
Bain, Lauren Hillary
182 Sw Academy St Suite 304, Dallas OR 97338-1922 -
Barrientos, Anne Sophia
182 Sw Academy St , Dallas OR 97338-1996 -
Smith, Jody A
182 Sw Academy St Ste 304 , Dallas OR 97338-1900 -
Johnson, Connie R
182 Sw Academy St , Dallas OR 97338-1996