Norris, Brent L
Norris, Brent L is an individual health care provider with primary practice located at 18610 Nw Cornell Rd Suite 101, Hillsboro OR 97124-9204. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Norris, Brent L can be contacted via phone (503) 216-9360.Contact Information
Primary practice address
18610 Nw Cornell Rd Suite 101
Hillsboro OR 97124-9204
Phone: (503) 216-9360
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PAT510 | Idaho |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA168574 | Oregon |
Profile Details
| NPI number | 1497902274 |
|---|---|
| LBN Legal business name | Norris, Brent L |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2008 |
| Last updated | Nov 12th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497902274 | NPPES |
| Oregon | MEDICAID | 500655918 |
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