Smith, Diana
Smith, Diana is an sole proprietor health care provider with primary practice located at 419 E 7Th St Ste 207 , The Dalles OR 97058-2676. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Smith, Diana can be contacted via phone (541) 296-5452.Contact Information
Primary practice address
419 E 7Th St Ste 207
The Dalles OR 97058-2676
Phone: (541) 296-5452
Fax: (541) 296-5048
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X |
Profile Details
| NPI number | 1336695386 |
|---|---|
| LBN Legal business name | Smith, Diana |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 30th, 2016 |
| Last updated | Aug 30th, 2016 - about 9 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 | 1336695386 | NPPES |
| Oregon | MEDICAID | 1699745794 |
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