Frideres, Kylie Jeane Bauer

Frideres, Kylie Jeane Bauer is an individual health care provider with primary practice located at 731 Nw Franklin Ave Ste 107 , Bend OR 97703. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Frideres, Kylie Jeane Bauer can be contacted via phone (541) 306-1128.

Contact Information

Primary practice address
731 Nw Franklin Ave Ste 107 Bend OR 97703
Phone: (541) 306-1128
Fax: (541) 647-1162
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X C4603 Oregon

Profile Details

NPI number 1235498536
LBN Legal business name Frideres, Kylie Jeane Bauer
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2012
Last updated May 15th, 2018 - about 8 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 1235498536 NPPES
Oregon MEDICAID 123190

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