Piceno, Elena

Piceno, Elena is an individual health care provider with primary practice located at 1175 Mount Hood Ave , Woodburn OR 97071-9060. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Piceno, Elena can be contacted via phone (503) 982-0635.

Contact Information

Primary practice address
1175 Mount Hood Ave Woodburn OR 97071-9060
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X THW000108253 Oregon

Profile Details

NPI number 1467159665
LBN Legal business name Piceno, Elena
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2023
Last updated Feb 8th, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1467159665 NPPES
Oregon Other THW00018253 OREGON HEALTH AUTHORITY

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