Squyres, Carol A
Squyres, Carol A is an individual health care provider with primary practice located at 16770 Sw Edy Rd Ste 102, Sherwood OR 97140-9678. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Squyres, Carol A can be contacted via phone (503) 215-9600.Contact Information
Primary practice address
16770 Sw Edy Rd Ste 102
Sherwood OR 97140-9678
Phone: (503) 215-9600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD28002 | Oregon |
Profile Details
| NPI number | 1689765067 |
|---|---|
| LBN Legal business name | Squyres, Carol A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 28th, 2006 |
| Last updated | Dec 16th, 2013 - about 12 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 | 1689765067 | NPPES |
| Oregon | MEDICAID | 279313 |
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