Roldan De Luna, Mario Alberto

Roldan De Luna, Mario Alberto is an individual health care provider with primary practice located at 51 Sw Lee St , Newport OR 97365-3823. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Roldan De Luna, Mario Alberto can be contacted via phone (541) 574-5960.

Contact Information

Primary practice address
51 Sw Lee St Newport OR 97365-3823
Phone: (541) 574-5960
Fax: (541) 265-0601
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1972065993
LBN Legal business name Roldan De Luna, Mario Alberto
Credentials QMHP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2019
Last updated Apr 1st, 2019 - about 6 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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