Moreno Ibarra, Mireya
Moreno Ibarra, Mireya is an individual health care provider with primary practice located at 3729 Klindt Dr , The Dalles OR 97058-3566. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Moreno Ibarra, Mireya can be contacted via phone (541) 298-2101.Contact Information
Primary practice address
3729 Klindt Dr
The Dalles OR 97058-3566
Phone: (541) 298-2101
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | ||
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1548784689 |
|---|---|
| LBN Legal business name | Moreno Ibarra, Mireya |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2017 |
| Last updated | Jan 30th, 2024 - about last year |
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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