Moore, Tawny
Moore, Tawny is an individual health care provider with primary practice located at 1750 Nebraska Ave Bldg B , Grants Pass OR 97527-5700. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Moore, Tawny can be contacted via phone (541) 476-3302.Contact Information
Primary practice address
1750 Nebraska Ave Bldg B
Grants Pass OR 97527-5700
Phone: (541) 476-3302
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1225541329 |
|---|---|
| LBN Legal business name | Moore, Tawny |
| Credentials | NON-QMHA-106S00000X |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 10th, 2017 |
| Last updated | Nov 10th, 2017 - about 9 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 | 1225541329 | NPPES |
| Oregon | Other | NON-QMHA-106S00000X | KAIROS |
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