Wafer, Kathleen J

Wafer, Kathleen J is an individual health care provider with primary practice located at 548 Se Jackson St , Roseburg OR 97470-4983. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Community Health Worker, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Wafer, Kathleen J can be contacted via phone (541) 440-3532.

Contact Information

Primary practice address
548 Se Jackson St Roseburg OR 97470-4983
Phone: (541) 440-3532
Fax: (541) 440-3554
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Oregon
Other Service Providers / Community Health Worker 172V00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1104180090
LBN Legal business name Wafer, Kathleen J
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2012
Last updated Sep 6th, 2023 - about 3 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 1104180090 NPPES
Oregon MEDICAID 500663506

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