King, Judith

King, Judith is an individual health care provider with primary practice located at 214 Ne Outlook Ave , Grants Pass OR 97526-1412. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. King, Judith can be contacted via phone (541) 474-5665.

Contact Information

Primary practice address
214 Ne Outlook Ave Grants Pass OR 97526-1412
Phone: (541) 474-5665
Fax: (547) 474-4435
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 000037306N1 Oregon

Profile Details

NPI number 1588663900
LBN Legal business name King, Judith
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Jan 2nd, 2020 - about 6 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 1588663900 NPPES
Oregon MEDICAID 074450

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