Powell, Diane Hennacy
Powell, Diane Hennacy is an sole proprietor health care provider with primary practice located at 245 Valley View Dr , Medford OR 97504-6973. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Powell, Diane Hennacy can be contacted via phone (541) 770-3171.Contact Information
Primary practice address
245 Valley View Dr
Medford OR 97504-6973
Phone: (541) 770-3171
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD25438 | Oregon |
Profile Details
| NPI number | 1851502512 |
|---|---|
| LBN Legal business name | Powell, Diane Hennacy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 24th, 2007 |
| 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.
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