Myers, Kristi Jo

Myers, Kristi Jo is an individual health care provider with primary practice located at 7591 Crater Lake Hwy , White City OR 97503-1618. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Myers, Kristi Jo can be contacted via phone (541) 826-4414.

Contact Information

Primary practice address
7591 Crater Lake Hwy White City OR 97503-1618
Fax: (541) 826-8366
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 7344 Oregon

Profile Details

NPI number 1699880039
LBN Legal business name Myers, Kristi Jo
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2006
Last updated Jul 8th, 2007 - about 17 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 1699880039 NPPES
Oregon MEDICAID 043229

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