Mead, Kristen M
Mead, Kristen M is an individual health care provider with primary practice located at 2570 Nw Edenbower Blvd Ste 100 , Roseburg OR 97471-6214. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Mead, Kristen M can be contacted via phone (541) 677-7200.Contact Information
Primary practice address
2570 Nw Edenbower Blvd Ste 100
Roseburg OR 97471-6214
Phone: (541) 677-7200
Fax: (541) 229-3309
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X | Oregon |
Profile Details
| NPI number | 1306553557 |
|---|---|
| LBN Legal business name | Mead, Kristen M |
| Credentials | CHW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2022 |
| Last updated | Feb 6th, 2023 - 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 | 1306553557 | NPPES |
| Oregon | Other | THW000107235 | OREGON HEALTH AUTHORITY |
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