C'De Baca, Lori Kim

C'De Baca, Lori Kim is an individual health care provider with primary practice located at 1215 Sw G St , Grants Pass OR 97526-2544. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. C'De Baca, Lori Kim can be contacted via phone (541) 476-2373.

Contact Information

Primary practice address
1215 Sw G St Grants Pass OR 97526-2544
Phone: (541) 476-2373
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X M - 05986 New Mexico
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1780853978
LBN Legal business name C'De Baca, Lori Kim
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2008
Last updated Apr 21st, 2014 - about 12 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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