Clontz, Carolyn Rae

Clontz, Carolyn Rae is an individual health care provider with primary practice located at 1128 Nw Harriman Street , Bend OR 97703-7565. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Health Educator, Other Service Providers / Community Health Worker. Other Service Providers / Health Educator is her primary health care specialty. Clontz, Carolyn Rae can be contacted via phone (541) 322-7500.

Contact Information

Primary practice address
1128 Nw Harriman Street Bend OR 97703-7565
Phone: (541) 322-7500
Fax: (541) 322-7565
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Health Educator 174H00000X 1295307486 Oregon
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1295307486
LBN Legal business name Clontz, Carolyn Rae
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2021
Last updated Jul 16th, 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.

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