Bean, Angela Faye

Bean, Angela Faye is an individual health care provider with primary practice located at 2400 Nw Kings Blvd , Corvallis OR 97330. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Bean, Angela Faye can be contacted via phone (541) 757-2400.

Contact Information

Primary practice address
2400 Nw Kings Blvd Corvallis OR 97330
Phone: (541) 757-2400
Fax: (541) 752-0931
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA10004906 Washington

Profile Details

NPI number 1578507547
LBN Legal business name Bean, Angela Faye
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Dec 15th, 2016 - about 10 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 1578507547 NPPES
Washington MEDICAID 8475667

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