Kaufmann, Jill R

Kaufmann, Jill R is an individual health care provider with primary practice located at 2577 Ne Courtney Dr , Bend OR 97701-7638. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Kaufmann, Jill R can be contacted via phone (541) 322-7500.

Contact Information

Primary practice address
2577 Ne Courtney Dr Bend OR 97701-7638
Phone: (541) 322-7500
Fax: (541) 322-7565
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 05-0008 Kentucky
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X T0957 Oregon

Profile Details

NPI number 1497805501
LBN Legal business name Kaufmann, Jill R
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2007
Last updated Jul 31st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497805501 NPPES
Kentucky MEDICAID 30615058

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