Copher, Jaycee Amanda
Copher, Jaycee Amanda is an individual health care provider with primary practice located at 365 Warner Milne Rd , Oregon City OR 97045-4073. She recently has only one registered license in Dental Providers / Dental Therapist, which is considered as her primary health care specialty. Copher, Jaycee Amanda can be contacted via phone (971) 206-7115.Contact Information
Primary practice address
365 Warner Milne Rd
Oregon City OR 97045-4073
Phone: (971) 206-7115
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Therapist | 125J00000X | D0003 | Oregon |
Profile Details
| NPI number | 1134827728 |
|---|---|
| LBN Legal business name | Copher, Jaycee Amanda |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2023 |
| Last updated | Sep 6th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134827728 | NPPES |
| Oregon | MEDICAID | DT0003 |
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