Murdock, Kaiwi Ruth Valentine

Murdock, Kaiwi Ruth Valentine is an sole proprietor health care provider with primary practice located at 1913 Meade St , North Bend OR 97459-3432. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Murdock, Kaiwi Ruth Valentine can be contacted via phone (541) 479-5901.

Contact Information

Primary practice address
1913 Meade St North Bend OR 97459-3432
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X Oregon

Profile Details

NPI number 1134657638
LBN Legal business name Murdock, Kaiwi Ruth Valentine
Credentials CPSS
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 27th, 2017
Last updated Jun 26th, 2017 - about 8 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 1134657638 NPPES
Other R58765252 BLUE CROSS BLUE SHIELD

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