Sofia B Kannier

Individual provider Active NPI Attendant Care Provider · Sweet Home, OR

NPI 1962932889 · NPPES record last updated Jun 13, 2017

Key facts

NPI
1962932889
Entity type
Individual (NPI type 1)
Primary specialty
Attendant Care Provider 3747A0650X
Practice address
799 Long St
Sweet Home, OR 97386-3304
Phone
(541) 367-3888
Fax
(541) 367-2407
NPI assigned
Jun 13, 2017
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Attendant Care Provider 3747A0650X Yes

Addresses

Primary practice location

799 Long St
Sweet Home, OR 97386-3304

Mailing address

1312 Wallace Rd NW Apt 17
Salem, OR 97304-3079
Phone (971) 770-8664

Other providers in Sweet Home, OR

All providers in Sweet Home, OR · Attendant Care Provider in Oregon

Sources for this page

Verify at the official NPI Registry.