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Contact Information

MINDY FRYE
130 ALLAN ST
MYRTLE CREEK, OR97457-9437
 Phone: 541-643-0319
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation

163WR0400X
 

Wound Care

163WW0000X
Indicates primary specialty

NPI Profile & details for MINDY FRYE · (Female)

NPI Number 1649663840
Status Active
Credentials
Entity Individual
Enumeration date 03/12/2015
Last updated 03/12/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • OR License # 200141599
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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