Medina, Jorge

Medina, Jorge is an sole proprietor health care provider with primary practice located at 3180 Center St Ne , Salem OR 97301-4532. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Medina, Jorge can be contacted via phone (503) 540-2132.

Contact Information

Primary practice address
3180 Center St Ne Salem OR 97301-4532
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1902367238
LBN Legal business name Medina, Jorge
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 28th, 2019
Last updated Mar 28th, 2019 - about 6 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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