Dix, Michelle Lynn
Dix, Michelle Lynn is an sole proprietor health care provider with primary practice located at 3425 13Th St , Baker City OR 97814-1340. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is her primary health care specialty. Dix, Michelle Lynn can be contacted via phone (541) 523-7400.Contact Information
Primary practice address
3425 13Th St
Baker City OR 97814-1340
Phone: (541) 523-7400
Fax: (541) 523-4937
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | 22-QMHA-I-003286 | Oregon |
| Other Service Providers / Community Health Worker | 172V00000X | THW0047 | Oregon |
| Other Service Providers / Community Health Worker | 172V00000X | THW000000007 | Oregon |
Profile Details
| NPI number | 1528691680 |
|---|---|
| LBN Legal business name | Dix, Michelle Lynn |
| Credentials | CHW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 18th, 2020 |
| Last updated | Jul 13th, 2023 - about 3 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 | 1528691680 | NPPES |
| Oregon | Other | 4276768 | DRIVERS LICENSE |
| Oregon | MEDICAID | 500776546 | DRIVERS LICENSE |
| Oregon | MEDICAID | 500813182 | DRIVERS LICENSE |
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