Siegfried, Hattie Rose

Siegfried, Hattie Rose is an individual health care provider with primary practice located at 4585 Sw 185Th Ave , Aloha OR 97078-1557. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Siegfried, Hattie Rose can be contacted via phone (503) 591-9280.

Contact Information

Primary practice address
4585 Sw 185Th Ave Aloha OR 97078-1557
Phone: (503) 591-9280
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X THW000002635 Oregon
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 21-CRM-II-0026 Oregon

Profile Details

NPI number 1417443037
LBN Legal business name Siegfried, Hattie Rose
Credentials CRM II/PSS
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2018
Last updated Dec 18th, 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 1417443037 NPPES
Oregon MEDICAID 500746326

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