Banta, Terry Denise

Banta, Terry Denise is an individual health care provider with primary practice located at 2460 4Th St Ne , Salem OR 97301-8332. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Banta, Terry Denise can be contacted via phone (623) 866-9360.

Contact Information

Primary practice address
2460 4Th St Ne Salem OR 97301-8332
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X A4255 Oregon

Profile Details

NPI number 1386280352
LBN Legal business name Banta, Terry Denise
Credentials CSWA
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2019
Last updated Oct 21st, 2021 - about 5 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.

Request for update

Popular Providers