Halliday-Roussell, Lynn
Halliday-Roussell, Lynn is an individual health care provider with primary practice located at 400 Crater Lake Ave , Medford OR 97504-6808. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Halliday-Roussell, Lynn can be contacted via phone (541) 613-6505.Contact Information
Primary practice address
400 Crater Lake Ave
Medford OR 97504-6808
Phone: (541) 613-6505
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 00546291 | Oregon |
Profile Details
| NPI number | 1104957513 |
|---|---|
| LBN Legal business name | Halliday-Roussell, Lynn |
| Credentials | Occupational Therapist (OT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104957513 | NPPES |
| Oregon | MEDICAID | 232021 |
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