Alix, Dieuson
Alix, Dieuson is an individual health care provider with primary practice located at 11097 Se 21St Ave , Milwaukie OR 97222-7640. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Alix, Dieuson can be contacted via phone (971) 334-9295.Contact Information
Primary practice address
11097 Se 21St Ave
Milwaukie OR 97222-7640
Phone: (971) 334-9295
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X | THW000106457 | Oregon |
Profile Details
| NPI number | 1447998745 |
|---|---|
| LBN Legal business name | Alix, Dieuson |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2022 |
| Last updated | May 25th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447998745 | NPPES |
| Oregon | MEDICAID | THW000106457 |
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