Mason, Justin Dore

Mason, Justin Dore is an individual health care provider with primary practice located at 145 N Coast Hwy Ste B , Newport OR 97365-3165. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Mason, Justin Dore can be contacted via phone (541) 272-5048.

Contact Information

Primary practice address
145 N Coast Hwy Ste B Newport OR 97365-3165
Phone: (541) 272-5048
Fax: (541) 264-8754
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X 21-CRM-777 Oregon

Profile Details

NPI number 1952062309
LBN Legal business name Mason, Justin Dore
Credentials CRM, PSS
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 7th, 2022
Last updated Jan 7th, 2022 - about 3 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 1952062309 NPPES
Oregon MEDICAID THW000105947

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