Cisneros, Damaris N

Cisneros, Damaris N is an sole proprietor health care provider with primary practice located at 3265 Biddle Rd , Medford OR 97504-4122. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Cisneros, Damaris N can be contacted via phone (541) 816-4747.

Contact Information

Primary practice address
3265 Biddle Rd Medford OR 97504-4122
Fax:
Website:

Health care specialties

Profile Details

NPI number 1811522147
LBN Legal business name Cisneros, Damaris N
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 6th, 2020
Last updated Mar 6th, 2020 - about 6 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 1811522147 NPPES
Oregon MEDICAID 6345

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