Vandiver, Katie Lynn

Vandiver, Katie Lynn is an sole proprietor health care provider with primary practice located at 37389 Scott Dr , Lebanon OR 97355-9596. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Vandiver, Katie Lynn can be contacted via phone (541) 990-9625.

Contact Information

Primary practice address
37389 Scott Dr Lebanon OR 97355-9596
Phone: (541) 990-9625
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X H4783 Oregon

Profile Details

NPI number 1407581242
LBN Legal business name Vandiver, Katie Lynn
Credentials DENTAL HYGIENIST
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2022
Last updated Jul 17th, 2022 - about 3 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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