Egan, Kaitlin Marie

Egan, Kaitlin Marie is an individual health care provider with primary practice located at 2500 Ne Neff Rd , Bend OR 97701-6015. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Egan, Kaitlin Marie can be contacted via phone (541) 382-4321.

Contact Information

Primary practice address
2500 Ne Neff Rd Bend OR 97701-6015
Fax: (541) 706-7068
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 201706420NP-PP Oregon

Profile Details

NPI number 1326564659
LBN Legal business name Egan, Kaitlin Marie
Credentials NNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2017
Last updated Apr 4th, 2023 - 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 1326564659 NPPES
Oregon Other 201706420NP-PP OREGON LICENSE

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