Whiskeyjack, Nicole Grace
Whiskeyjack, Nicole Grace is an individual health care provider with primary practice located at 46314 Timine Way , Pendleton OR 97801-9417. She recently has only one registered license in Other Service Providers / Prevention Professional, which is considered as her primary health care specialty. Whiskeyjack, Nicole Grace can be contacted via phone (541) 240-8740.Contact Information
Primary practice address
46314 Timine Way
Pendleton OR 97801-9417
Phone: (541) 240-8740
Fax: (541) 240-8754
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Prevention Professional | 405300000X | 20-CRM-173 | Oregon |
Profile Details
| NPI number | 1841809134 |
|---|---|
| LBN Legal business name | Whiskeyjack, Nicole Grace |
| Credentials | CRM |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 23rd, 2020 |
| Last updated | Jan 20th, 2023 - about last year |
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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