Wallace, Deana L
Wallace, Deana L is an individual health care provider with primary practice located at 3425 13Th St , Baker City OR 97814-1340. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Wallace, Deana L can be contacted via phone (541) 523-7400.Contact Information
Primary practice address
3425 13Th St
Baker City OR 97814-1340
Phone: (541) 523-7400
Fax: (541) 523-4927
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | T-21-883 | Oregon |
Profile Details
| NPI number | 1912423229 |
|---|---|
| LBN Legal business name | Wallace, Deana L |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 17th, 2017 |
| Last updated | Jul 29th, 2021 - 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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