Goetz-Kennedy, Tawnie
Goetz-Kennedy, Tawnie is an sole proprietor health care provider with primary practice located at 2700 Stewart Parkway Annex B, Roseburg OR 97471. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Goetz-Kennedy, Tawnie can be contacted via phone (541) 440-3532.Contact Information
Primary practice address
2700 Stewart Parkway Annex B
Roseburg OR 97471
Phone: (541) 440-3532
Fax: (541) 440-3554
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
| NPI number | 1023353786 |
|---|---|
| LBN Legal business name | Goetz-Kennedy, Tawnie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 6th, 2012 |
| Last updated | May 7th, 2015 - about 11 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 | 1023353786 | NPPES |
| Oregon | MEDICAID | 500663505 |
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