Detrois, Christine Alexandra

Detrois, Christine Alexandra is an individual health care provider with primary practice located at 821 Saginaw St S , Salem OR 97302-4121. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Detrois, Christine Alexandra can be contacted via phone (503) 589-4046.

Contact Information

Primary practice address
821 Saginaw St S Salem OR 97302-4121
Phone: (503) 589-4046
Fax: (503) 480-0484
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X Illinois
Other Service Providers / Case Manager/Care Coordinator 171M00000X 23-QMHA-II-000119 Oregon

Profile Details

NPI number 1740618982
LBN Legal business name Detrois, Christine Alexandra
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2013
Last updated Apr 2nd, 2024 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740618982 NPPES
Oregon MEDICAID 1740618982

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