Everett, Rolanda R

Everett, Rolanda R is an individual health care provider with primary practice located at 2000 N 19Th St , Springfield OR 97477-2526. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Everett, Rolanda R can be contacted via phone (541) 746-5437.

Contact Information

Primary practice address
2000 N 19Th St Springfield OR 97477-2526
Fax: (541) 746-3753
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD21149 Oregon

Profile Details

NPI number 1700856606
LBN Legal business name Everett, Rolanda R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Jun 20th, 2008 - about 17 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 1700856606 NPPES
Oregon MEDICAID 151138

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