Evergreen, Serafina Eliya

Evergreen, Serafina Eliya is an individual health care provider with primary practice located at 3709 Citation Way Ste 102 , Medford OR 97504-9022. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Evergreen, Serafina Eliya can be contacted via phone (541) 500-6532.

Contact Information

Primary practice address
3709 Citation Way Ste 102 Medford OR 97504-9022
Phone: (541) 500-6532
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1528650082
LBN Legal business name Evergreen, Serafina Eliya
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2021
Last updated Feb 5th, 2021 - about 5 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.

Request for update

Popular Providers