Dodd, Kamara Marie

Dodd, Kamara Marie is an sole proprietor health care provider with primary practice located at 644 Ray Ln , Ashland OR 97520-2466. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Dodd, Kamara Marie can be contacted via phone (541) 404-4485.

Contact Information

Primary practice address
644 Ray Ln Ashland OR 97520-2466
Phone: (541) 404-4485
Fax: (541) 225-4884
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN1836 Hawaii
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 200950101NP FNP-PP Oregon
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 200950101NP FNP-PP Oregon

Profile Details

NPI number 1114159068
LBN Legal business name Dodd, Kamara Marie
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 11th, 2009
Last updated Oct 23rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114159068 NPPES
Oregon Other 161133 GROUP MEDICAID
Oregon Other R0000WFBTV GROUP MEDICAID
Oregon Other 1407812365 GROUP MEDICAID
Oregon MEDICAID 500611143 GROUP MEDICAID

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