Mancilla, Lydia Maria

Mancilla, Lydia Maria is an individual health care provider with primary practice located at 8915 Sw Center St , Tigard OR 97223-6307. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Mancilla, Lydia Maria can be contacted via phone (503) 726-3690.

Contact Information

Primary practice address
8915 Sw Center St Tigard OR 97223-6307
Phone: (503) 726-3690
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1275198376
LBN Legal business name Mancilla, Lydia Maria
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2019
Last updated Dec 14th, 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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