Markesteyn, Miranda L

Markesteyn, Miranda L is an individual health care provider with primary practice located at 3640 Nw Samaritan Dr Ste 120 , Corvallis OR 97330-3784. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Markesteyn, Miranda L can be contacted via phone (541) 768-5223.

Contact Information

Primary practice address
3640 Nw Samaritan Dr Ste 120 Corvallis OR 97330-3784
Phone: (541) 768-5223
Fax: (540) 536-0235
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA201988 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA60613313 Washington
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 0110006164 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9108211 Florida

Profile Details

NPI number 1144611971
LBN Legal business name Markesteyn, Miranda L
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2015
Last updated Feb 18th, 2021 - about 5 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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