Pacheco, Ida Catherine
Pacheco, Ida Catherine is an sole proprietor health care provider with primary practice located at 103 Highway 82 Suite 5, Enterprise OR 97828-6011. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Pacheco, Ida Catherine can be contacted via phone (541) 398-0015.Contact Information
Primary practice address
103 Highway 82 Suite 5
Enterprise OR 97828-6011
Phone: (541) 398-0015
Fax: (541) 432-0860
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 716 | Oregon |
Profile Details
| NPI number | 1396842217 |
|---|---|
| LBN Legal business name | Pacheco, Ida Catherine |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396842217 | NPPES |
| Oregon | MEDICAID | 138800 |
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