Passanise, Angela M

Passanise, Angela M is an individual health care provider with primary practice located at 3680 Nw Samaritan Dr , Corvallis OR 97330-3737. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is her primary health care specialty. Passanise, Angela M can be contacted via phone (541) 754-1150.

Contact Information

Primary practice address
3680 Nw Samaritan Dr Corvallis OR 97330-3737
Phone: (541) 754-1150
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 34.010491 Ohio
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 03478 Kentucky
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X DO178709 Oregon
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X DO178709 Oregon
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 2013018503 Missouri

Profile Details

NPI number 1730384413
LBN Legal business name Passanise, Angela M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2007
Last updated May 18th, 2020 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1730384413 NPPES
Oregon MEDICAID 500713866

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