Pinske Backus, Tara Lynn
Pinske Backus, Tara Lynn is an sole proprietor health care provider with primary practice located at 19171 Se Mill Plain Blvd Ste 101, Vancouver WA 98683-9321. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Pinske Backus, Tara Lynn can be contacted via phone (360) 254-1026.Contact Information
Primary practice address
19171 Se Mill Plain Blvd Ste 101
Vancouver WA 98683-9321
Phone: (360) 254-1026
Fax: (360) 256-2318
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2807T | Oregon |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 60276428 | Washington |
Profile Details
| NPI number | 1821096116 |
|---|---|
| LBN Legal business name | Pinske Backus, Tara Lynn |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 11th, 2005 |
| Last updated | Sep 29th, 2016 - about 9 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 | 1821096116 | NPPES |
| Oregon | MEDICAID | 182842 |
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