David, Amanda Rose

David, Amanda Rose is an sole proprietor health care provider with primary practice located at 182 Sw Academy St , Dallas OR 97338-1996. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. David, Amanda Rose can be contacted via phone (541) 921-4712.

Contact Information

Primary practice address
182 Sw Academy St Dallas OR 97338-1996
Phone: (541) 921-4712
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1326794926
LBN Legal business name David, Amanda Rose
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 23rd, 2022
Last updated Feb 23rd, 2022 - about 4 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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