Roark, Marsha Ann

Roark, Marsha Ann is an sole proprietor health care provider with primary practice located at 3425 13Th St , Baker City OR 97814-1340. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Roark, Marsha Ann can be contacted via phone (541) 523-7400.

Contact Information

Primary practice address
3425 13Th St Baker City OR 97814-1340
Fax: (541) 523-4927
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X 23-QMHA-R-3973 Oregon

Profile Details

NPI number 1518641364
LBN Legal business name Roark, Marsha Ann
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 12th, 2023
Last updated Jun 12th, 2023 - about 2 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 1518641364 NPPES
Washington Other WDLB7TZ9623B DRIVERS LICENSE

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