Merrill, Krysta Renee

Merrill, Krysta Renee is an individual health care provider with primary practice located at 5211 Ne Glisan St Bldg C , Portland OR 97213-3052. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Merrill, Krysta Renee can be contacted via phone (541) 450-3575.

Contact Information

Primary practice address
5211 Ne Glisan St Bldg C Portland OR 97213-3052
Phone: (541) 450-3575
Fax:
Website:
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Health care specialties

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

Profile Details

NPI number 1093223810
LBN Legal business name Merrill, Krysta Renee
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2018
Last updated Jan 15th, 2018 - about 7 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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