Bidlack, Nancy C.

Bidlack, Nancy C. is an individual health care provider with primary practice located at 410 N 9Th St , Cottage Grove OR 97424-1307. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Bidlack, Nancy C. can be contacted via phone (541) 942-2850.

Contact Information

Primary practice address
410 N 9Th St Cottage Grove OR 97424-1307
Phone: (541) 942-2850
Fax: (541) 942-1574
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X Oregon

Profile Details

NPI number 1225199300
LBN Legal business name Bidlack, Nancy C.
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Jul 9th, 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 1225199300 NPPES
Oregon MEDICAID 019047

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