Medlock, Felicia Ann

Medlock, Felicia Ann is an individual health care provider with primary practice located at 1175 Mount Hood Ave , Woodburn OR 97071-9060. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Medlock, Felicia Ann can be contacted via phone (503) 982-2000.

Contact Information

Primary practice address
1175 Mount Hood Ave Woodburn OR 97071-9060
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X L10857 Oregon

Profile Details

NPI number 1720669872
LBN Legal business name Medlock, Felicia Ann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2021
Last updated Mar 29th, 2024 - about 8 months 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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