Maciel, Christy L

Maciel, Christy L is an individual health care provider with primary practice located at 1569 Sw Nancy Way , Bend OR 97702-3234. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Maciel, Christy L can be contacted via phone (541) 419-8844.

Contact Information

Primary practice address
1569 Sw Nancy Way Bend OR 97702-3234
Phone: (541) 419-8844
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X Oregon
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1922557040
LBN Legal business name Maciel, Christy L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2016
Last updated Nov 19th, 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 1922557040 NPPES
Oregon MEDICAID 283234

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