Valencia, Kristy Mae

Valencia, Kristy Mae is an individual health care provider with primary practice located at 1605 E Lincoln Rd , Woodburn OR 97071-5137. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Registered Record Administrator, which is considered as her primary health care specialty. Valencia, Kristy Mae can be contacted via phone (593) 666-6575.

Contact Information

Primary practice address
1605 E Lincoln Rd Woodburn OR 97071-5137
Phone: (593) 666-6575
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Registered Record Administrator 246YR1600X 941735

Profile Details

NPI number 1265063374
LBN Legal business name Valencia, Kristy Mae
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2020
Last updated Jan 29th, 2020 - about 4 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 1265063374 NPPES
Oregon MEDICAID 941735

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