North, Phoenix Senna

North, Phoenix Senna is an individual health care provider with primary practice located at 530 Welch St , Silverton OR 97381-1946. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. North, Phoenix Senna can be contacted via phone (503) 874-6026.

Contact Information

Primary practice address
530 Welch St Silverton OR 97381-1946
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD27493 Oregon

Profile Details

NPI number 1336110469
LBN Legal business name North, Phoenix Senna
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Aug 27th, 2012 - about 14 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 1336110469 NPPES
Oregon MEDICAID 274363

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