Fears, Amber Rae

Fears, Amber Rae is an sole proprietor health care provider with primary practice located at 1650 Sw 45Th Pl , Corvallis OR 97333-1768. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Fears, Amber Rae can be contacted via phone (541) 757-8068.

Contact Information

Primary practice address
1650 Sw 45Th Pl Corvallis OR 97333-1768
Phone: (541) 757-8068
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X Oregon
Other Service Providers / Case Manager/Care Coordinator 171M00000X Oregon

Profile Details

NPI number 1538876164
LBN Legal business name Fears, Amber Rae
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2022
Last updated Nov 2nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1538876164 NPPES
Oregon MEDICAID 128715

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