Sloan, Angelina Starr

Sloan, Angelina Starr is an individual health care provider with primary practice located at 112 Beavercreek Rd , Oregon City OR 97045-4302. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Sloan, Angelina Starr can be contacted via phone (503) 722-6277.

Contact Information

Primary practice address
112 Beavercreek Rd Oregon City OR 97045-4302
Fax: (503) 722-6270
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1811528193
LBN Legal business name Sloan, Angelina Starr
Credentials CRM
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2020
Last updated Feb 3rd, 2020 - about 5 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 1811528193 NPPES
Oregon MEDICAID THW000004066

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