Hafez-Triem, Rukshana
Hafez-Triem, Rukshana is an individual health care provider with primary practice located at 617 Ne Davis St , Mcminnville OR 97128-4716. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Hafez-Triem, Rukshana can be contacted via phone (503) 472-4020.Contact Information
Primary practice address
617 Ne Davis St
Mcminnville OR 97128-4716
Phone: (503) 472-4020
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1851715866 |
|---|---|
| LBN Legal business name | Hafez-Triem, Rukshana |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 11th, 2014 |
| Last updated | Dec 9th, 2014 - about 12 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 | 1851715866 | NPPES |
| Oregon | MEDICAID | 1326056433 |
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