Mull, Marilyn

Mull, Marilyn is an sole proprietor health care provider with primary practice located at 2672 Nw Skylee Dr Apt 3 , Roseburg OR 97471-1989. She recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Mull, Marilyn can be contacted via phone (541) 378-4590.

Contact Information

Primary practice address
2672 Nw Skylee Dr Apt 3 Roseburg OR 97471-1989
Phone: (541) 378-4590
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X 1242 Oregon
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1242 Oregon

Profile Details

NPI number 1184098865
LBN Legal business name Mull, Marilyn
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 18th, 2015
Last updated Aug 8th, 2021 - about 4 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 1184098865 NPPES
Oregon Other 1295901809 NPPES

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