Roth, Hailee
Roth, Hailee is an sole proprietor health care provider with primary practice located at 9300 Ne Oak View Dr , Vancouver WA 98662-6157. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Roth, Hailee can be contacted via phone (360) 567-2211.Contact Information
Primary practice address
9300 Ne Oak View Dr
Vancouver WA 98662-6157
Phone: (360) 567-2211
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X | Washington | |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | Washington |
Profile Details
| NPI number | 1861974032 |
|---|---|
| LBN Legal business name | Roth, Hailee |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 4th, 2018 |
| Last updated | Dec 28th, 2018 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861974032 | NPPES |
| Washington | MEDICAID | 1558593350 | |
| Washington | MEDICAID | 1861974032 |
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