Mason, Justin Dore
Mason, Justin Dore is an individual health care provider with primary practice located at 145 N Coast Hwy Ste B , Newport OR 97365-3165. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Mason, Justin Dore can be contacted via phone (541) 272-5048.Contact Information
Primary practice address
145 N Coast Hwy Ste B
Newport OR 97365-3165
Phone: (541) 272-5048
Fax: (541) 264-8754
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X | 21-CRM-777 | Oregon |
Profile Details
| NPI number | 1952062309 |
|---|---|
| LBN Legal business name | Mason, Justin Dore |
| Credentials | CRM, PSS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 7th, 2022 |
| Last updated | Jan 7th, 2022 - about 2 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 | 1952062309 | NPPES |
| Oregon | MEDICAID | THW000105947 |
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