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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1265063374 | NPPES |
Oregon | MEDICAID | 941735 |
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