Davis, Pauline Gale

Davis, Pauline Gale is an sole proprietor health care provider with primary practice located at 353 Deadmond Ferry Rd , Springfield OR 97477-9406. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology is her primary health care specialty. Davis, Pauline Gale can be contacted via phone (541) 222-7550.

Contact Information

Primary practice address
353 Deadmond Ferry Rd Springfield OR 97477-9406
Phone: (541) 222-7550
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 200650082NP NMNP-PP Oregon
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 200650082NP Oregon

Profile Details

NPI number 1760689202
LBN Legal business name Davis, Pauline Gale
Credentials CNM FNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2007
Last updated Jan 5th, 2011 - about 15 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 1760689202 NPPES
Oregon MEDICAID 500608794

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