Martin, Ann L
Martin, Ann L is an individual health care provider with primary practice located at 124 Sw 8Th St , Redmond OR 97756-2114. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Martin, Ann L can be contacted via phone (541) 504-8970.Contact Information
Primary practice address
124 Sw 8Th St
Redmond OR 97756-2114
Phone: (541) 504-8970
Fax: (541) 504-5805
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 3365 | Oregon |
Profile Details
| NPI number | 1083773337 |
|---|---|
| LBN Legal business name | Martin, Ann L |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 6th, 2006 |
| Last updated | Jul 27th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083773337 | NPPES |
| Oregon | Other | 1083773337 | NPI |
| Oregon | MEDICAID | 500777269 | NPI |
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