Cantrell, Dave A

Cantrell, Dave A is an individual health care provider with primary practice located at 2111 Exchange St , Astoria OR 97103-3329. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Cantrell, Dave A can be contacted via phone (503) 338-4087.

Contact Information

Primary practice address
2111 Exchange St Astoria OR 97103-3329
Phone: (503) 338-4087
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA213112 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA10004576 Washington

Profile Details

NPI number 1427005479
LBN Legal business name Cantrell, Dave A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2006
Last updated Nov 3rd, 2022 - about 3 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 1427005479 NPPES
Washington Other 0279439 LABOR AND INDUSTRY
Washington MEDICAID 7101132 LABOR AND INDUSTRY
Washington MEDICAID 806756200 LABOR AND INDUSTRY
Washington MEDICAID 7117450 LABOR AND INDUSTRY
Washington MEDICAID 1427005479 LABOR AND INDUSTRY
Washington Other CJ6525 LABOR AND INDUSTRY

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