Kittrell, Clinton E
Kittrell, Clinton E is an individual health care provider with primary practice located at 46314 Timine Way , Pendleton OR 97801-9099. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Kittrell, Clinton E can be contacted via phone (541) 966-9830.Contact Information
Primary practice address
46314 Timine Way
Pendleton OR 97801-9099
Phone: (541) 966-9830
Fax: (541) 240-8410
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | L6482 | Oregon |
Profile Details
| NPI number | 1215345681 |
|---|---|
| LBN Legal business name | Kittrell, Clinton E |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 29th, 2014 |
| Last updated | Apr 15th, 2020 - about 6 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 | 1215345681 | NPPES |
| Oregon | MEDICAID | 500681449 |
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