Vidan, Amy
Vidan, Amy is an individual health care provider with primary practice located at 22518 S Parrot Creek Rd , Oregon City OR 97045-9725. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Vidan, Amy can be contacted via phone (503) 266-3050.Contact Information
Primary practice address
22518 S Parrot Creek Rd
Oregon City OR 97045-9725
Phone: (503) 266-3050
Fax: (503) 266-4793
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1699217489 |
|---|---|
| LBN Legal business name | Vidan, Amy |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 9th, 2016 |
| Last updated | Nov 9th, 2016 - about 10 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 | 1699217489 | NPPES |
| Oregon | MEDICAID | 1104253079 |
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