Phaly, Duece

Phaly, Duece is an individual health care provider with primary practice located at 4455 Ne Highway 20 , Corvallis OR 97330-9695. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Phaly, Duece can be contacted via phone (541) 758-5900.

Contact Information

Primary practice address
4455 Ne Highway 20 Corvallis OR 97330-9695
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X

Profile Details

NPI number 1528704905
LBN Legal business name Phaly, Duece
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2022
Last updated May 9th, 2022 - about 2 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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