Garrison, Rodney R

Garrison, Rodney R is an individual health care provider with primary practice located at 2700 Se Stratus Ave Ste. 406, Mcminnville OR 97128-6255. 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. Garrison, Rodney R can be contacted via phone (503) 435-1200.

Contact Information

Primary practice address
2700 Se Stratus Ave Ste. 406 Mcminnville OR 97128-6255
Phone: (503) 435-1200
Fax: (503) 434-9572
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA10000432 Washington
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA01228 Oregon

Profile Details

NPI number 1770523805
LBN Legal business name Garrison, Rodney R
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Feb 9th, 2012 - about 14 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 1770523805 NPPES
Oregon MEDICAID 500605531

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