Simon, Desiree Mia
Simon, Desiree Mia is an individual health care provider with primary practice located at 4455 Ne Highway 20 , Corvallis OR 97330-9695. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Simon, Desiree Mia can be contacted via phone (541) 757-1852.Contact Information
Primary practice address
4455 Ne Highway 20
Corvallis OR 97330-9695
Phone: (541) 757-1852
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | Oregon |
Profile Details
| NPI number | 1558569046 |
|---|---|
| LBN Legal business name | Simon, Desiree Mia |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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