Mautner, Dawn Beverly
Mautner, Dawn Beverly is an individual health care provider with primary practice located at 115 Ne May Ln , Mcminnville OR 97128-9272. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mautner, Dawn Beverly can be contacted via phone (503) 472-1338.Contact Information
Primary practice address
115 Ne May Ln
Mcminnville OR 97128-9272
Phone: (503) 472-1338
Fax: (503) 434-8597
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD440181 | Pennsylvania |
Profile Details
| NPI number | 1770774598 |
|---|---|
| LBN Legal business name | Mautner, Dawn Beverly |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 6th, 2007 |
| Last updated | Jul 21st, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770774598 | NPPES |
| New Jersey | MEDICAID | 0236578 | |
| New Jersey | MEDICAID | 1024835530003 |
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