Moore, Ellena
Moore, Ellena is an individual health care provider with primary practice located at 321 Se 3Rd St , Toledo OR 97391-1613. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Moore, Ellena can be contacted via phone (541) 336-2254.Contact Information
Primary practice address
321 Se 3Rd St
Toledo OR 97391-1613
Phone: (541) 336-2254
Fax: (541) 336-1803
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
NPI number | 1952730541 |
---|---|
LBN Legal business name | Moore, Ellena |
Credentials | QMHA |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 5th, 2013 |
Last updated | Nov 5th, 2013 - about 11 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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