Lavigne, Brenda Ann

Lavigne, Brenda Ann is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd Ste 430 , Portland OR 97239. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Lavigne, Brenda Ann can be contacted via phone (503) 494-1627.

Contact Information

Primary practice address
3181 Sw Sam Jackson Park Rd Ste 430 Portland OR 97239
Phone: (503) 494-1627
Fax: (503) 346-8285
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1128895 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA174984 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA174984 Oregon

Profile Details

NPI number 1558763037
LBN Legal business name Lavigne, Brenda Ann
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2014
Last updated Apr 10th, 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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