Maynes, Cynthia J

Maynes, Cynthia J is an individual health care provider with primary practice located at 2570 Nw Edenbower Blvd Suite 100, Roseburg OR 97470-6220. 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. Maynes, Cynthia J can be contacted via phone (541) 677-7200.

Contact Information

Primary practice address
2570 Nw Edenbower Blvd Suite 100 Roseburg OR 97470-6220
Phone: (541) 677-7200
Fax: (541) 229-3363
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 200350126NP FNP-PP Oregon

Profile Details

NPI number 1447223714
LBN Legal business name Maynes, Cynthia J
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Jan 20th, 2011 - about 15 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 1447223714 NPPES
Oregon MEDICAID 022638

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