Mortensen, Ingrid E.

Mortensen, Ingrid E. is an individual health care provider with primary practice located at 716 E Edison Ave , Sunnyside WA 98944-2204. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Mortensen, Ingrid E. can be contacted via phone (509) 837-4455.

Contact Information

Primary practice address
716 E Edison Ave Sunnyside WA 98944-2204
Phone: (509) 837-4455
Fax: (509) 837-6299
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MA00017106 Washington

Profile Details

NPI number 1043364821
LBN Legal business name Mortensen, Ingrid E.
Credentials L.M.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1043364821 NPPES
Washington Other 0187958 LABOR & INDUSTRIES

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