Vandomelen, Kristan
Vandomelen, Kristan is an individual health care provider with primary practice located at 400 Ne 7Th St , Gresham OR 97030-5604. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Vandomelen, Kristan can be contacted via phone (503) 661-5455.Contact Information
Primary practice address
400 Ne 7Th St
Gresham OR 97030-5604
Phone: (503) 661-5455
Fax: (503) 661-4959
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1912305566 |
|---|---|
| LBN Legal business name | Vandomelen, Kristan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 15th, 2014 |
| Last updated | Dec 15th, 2014 - about 11 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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