Hinojosa, Stacy Lee

Hinojosa, Stacy Lee is an individual health care provider with primary practice located at 300 W Main St , Medford OR 97501. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Hinojosa, Stacy Lee can be contacted via phone (916) 289-3344.

Contact Information

Primary practice address
300 W Main St Medford OR 97501
Phone: (916) 289-3344
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1235301292
LBN Legal business name Hinojosa, Stacy Lee
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2008
Last updated May 3rd, 2019 - about 7 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 1235301292 NPPES
Oregon MEDICAID 1881685097

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