Moore, Carolyn Mae
Moore, Carolyn Mae is an individual health care provider with primary practice located at 1600 S Main St , Lebanon OR 97355-3109. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Moore, Carolyn Mae can be contacted via phone (541) 451-5932.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | L4204 | Oregon |
Profile Details
| NPI number | 1720068182 |
|---|---|
| LBN Legal business name | Moore, Carolyn Mae |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 20th, 2006 |
| Last updated | Mar 5th, 2018 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720068182 | NPPES |
| Oregon | MEDICAID | 500612327 |
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