King, Lydia Wren

King, Lydia Wren is an individual health care provider with primary practice located at 3307 19Th Ave , Forest Grove OR 97116-1909. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. King, Lydia Wren can be contacted via phone (971) 348-3217.

Contact Information

Primary practice address
3307 19Th Ave Forest Grove OR 97116-1909
Phone: (971) 348-3217
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X Oregon

Profile Details

NPI number 1487300554
LBN Legal business name King, Lydia Wren
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2022
Last updated Feb 26th, 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.

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