Iversen, Hallie

Iversen, Hallie is an individual health care provider with primary practice located at 100 E Main St Ste C , Medford OR 97501-6041. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Iversen, Hallie can be contacted via phone (541) 200-2900.

Contact Information

Primary practice address
100 E Main St Ste C Medford OR 97501-6041
Phone: (541) 200-2900
Fax: (541) 200-2948
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 201408131 Oregon

Profile Details

NPI number 1770932097
LBN Legal business name Iversen, Hallie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2016
Last updated Mar 1st, 2017 - about 9 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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