Dealy, Fatima Janeth

Dealy, Fatima Janeth is an individual health care provider with primary practice located at 1401 N 10Th Ave Ste 100 , Stayton OR 97383-1486. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Dealy, Fatima Janeth can be contacted via phone (503) 769-2175.

Contact Information

Primary practice address
1401 N 10Th Ave Ste 100 Stayton OR 97383-1486
Phone: (503) 769-2175
Fax: (503) 769-5877
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA157447 Oregon

Profile Details

NPI number 1891068169
LBN Legal business name Dealy, Fatima Janeth
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2012
Last updated Jan 26th, 2024 - about 2 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 1891068169 NPPES
Oregon MEDICAID 500644586

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