1275699753 NPI number — CARMEN DENISE MONS RDH, LAP

Table of content: CARMEN DENISE MONS RDH, LAP (NPI 1275699753)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275699753 NPI number — CARMEN DENISE MONS RDH, LAP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MONS
Provider First Name:
CARMEN
Provider Middle Name:
DENISE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
RDH, LAP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1275699753
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5876 CROWFOOT RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TRAIL
Provider Business Mailing Address State Name:
OR
Provider Business Mailing Address Postal Code:
97541-9620
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
541-878-3945
Provider Business Mailing Address Fax Number:
541-878-2117

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5876 CROWFOOT RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TRAIL
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97541-9620
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
541-878-3945
Provider Business Practice Location Address Fax Number:
541-878-2117
Provider Enumeration Date:
12/28/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 124Q00000X , with the licence number:  H3512 , registered in the state of OR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)