Bates, Misty Rose

Bates, Misty Rose is an individual health care provider with primary practice located at 2145 Centennial Plz , Eugene OR 97401. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Bates, Misty Rose can be contacted via phone (541) 485-6340.

Contact Information

Primary practice address
2145 Centennial Plz Eugene OR 97401
Phone: (541) 485-6340
Fax: (541) 984-3124
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1811278062
LBN Legal business name Bates, Misty Rose
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2011
Last updated Aug 7th, 2019 - about 7 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 1811278062 NPPES
Oregon MEDICAID 123190

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