Willems, Andrea

Willems, Andrea is an individual health care provider with primary practice located at 1655 Capitol St Ne , Salem OR 97301-7845. She recently has only one registered license in Nursing Service Related Providers / Doula, which is considered as her primary health care specialty. Willems, Andrea can be contacted via phone (503) 877-2815.

Contact Information

Primary practice address
1655 Capitol St Ne Salem OR 97301-7845
Phone: (503) 877-2815
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Doula 374J00000X

Profile Details

NPI number 1588281133
LBN Legal business name Willems, Andrea
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2020
Last updated Jun 30th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588281133 NPPES
Oregon MEDICAID THW000104061

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