Nellermoe, Crystal Dawn
Nellermoe, Crystal Dawn is an sole proprietor health care provider with primary practice located at 357 Warner Milne Rd , Oregon City OR 97045-4045. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Nellermoe, Crystal Dawn can be contacted via phone (503) 655-6780.Contact Information
Primary practice address
357 Warner Milne Rd
Oregon City OR 97045-4045
Phone: (503) 655-6780
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Contractor | 171W00000X | 13223 | Oregon |
Profile Details
| NPI number | 1003114695 |
|---|---|
| LBN Legal business name | Nellermoe, Crystal Dawn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 4th, 2011 |
| Last updated | Mar 4th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003114695 | NPPES |
| Oregon | Other | 13223 | OREGON MASSAGE LICENSE |
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