Malott, Michele D

Malott, Michele D is an sole proprietor health care provider with primary practice located at 905 Main St Suite 411, Klamath Falls OR 97601-5810. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Malott, Michele D can be contacted via phone (541) 850-5871.

Contact Information

Primary practice address
905 Main St Suite 411 Klamath Falls OR 97601-5810
Phone: (541) 850-5871
Fax: (541) 850-9430
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X L3624 Oregon

Profile Details

NPI number 1821098591
LBN Legal business name Malott, Michele D
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2005
Last updated Jul 8th, 2007 - about 17 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 1821098591 NPPES
Oregon Other L3624 LCSW
Oregon MEDICAID 129861 LCSW

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