Star, Victoria Lee

Star, Victoria Lee is an individual health care provider with primary practice located at 46314 Timine Way , Pendleton OR 97801. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Star, Victoria Lee can be contacted via phone (541) 966-9830.

Contact Information

Primary practice address
46314 Timine Way Pendleton OR 97801
Phone: (541) 966-9830
Fax: (541) 278-7572
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 02-03-63 Oregon
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 020363 Oregon
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1437310679
LBN Legal business name Star, Victoria Lee
Credentials BSSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2008
Last updated Oct 8th, 2018 - about 7 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 1437310679 NPPES
Oregon MEDICAID 171037

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