Van Alstine, Nicole

Van Alstine, Nicole is an individual health care provider with primary practice located at 340 Nw 5Th St , Redmond OR 97756. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Van Alstine, Nicole can be contacted via phone (541) 504-2218.

Contact Information

Primary practice address
340 Nw 5Th St Redmond OR 97756
Phone: (541) 504-2218
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X 20-CRM-019 Oregon

Profile Details

NPI number 1255906558
LBN Legal business name Van Alstine, Nicole
Credentials CADC-R CRM, PSS
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2021
Last updated Jul 7th, 2023 - about 2 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 1255906558 NPPES
Oregon MEDICAID 20-CRM-019

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