Averill, Lisa Christine

Averill, Lisa Christine is an individual health care provider with primary practice located at 2700 Se Stratus Ave Suite 301, Mcminnville OR 97128. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Averill, Lisa Christine can be contacted via phone (503) 474-1148.

Contact Information

Primary practice address
2700 Se Stratus Ave Suite 301 Mcminnville OR 97128
Phone: (503) 474-1148
Fax: (503) 434-6148
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 20050058NP Oregon

Profile Details

NPI number 1467488312
LBN Legal business name Averill, Lisa Christine
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Jul 8th, 2007 - about 19 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 1467488312 NPPES
Oregon MEDICAID 292902

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