Makinson, Kayla

Makinson, Kayla is an individual health care provider with primary practice located at 51340 Highway 97 , La Pine OR 97739-9871. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Makinson, Kayla can be contacted via phone (541) 322-7500.

Contact Information

Primary practice address
51340 Highway 97 La Pine OR 97739-9871
Fax: (541) 322-7565
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Oregon

Profile Details

NPI number 1578161436
LBN Legal business name Makinson, Kayla
Credentials QMHP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2020
Last updated Dec 21st, 2021 - about 3 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 1578161436 NPPES
Oregon MEDICAID 1578161436

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