Perez, Antonia
Perez, Antonia is an individual health care provider with primary practice located at 1890 Waite Street Ste 1 , North Bend OR 97459. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Perez, Antonia can be contacted via phone (541) 756-6232.Contact Information
Primary practice address
1890 Waite Street Ste 1
North Bend OR 97459
Phone: (541) 756-6232
Fax: (541) 756-6234
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP129913 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AC001437 | Maryland |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN1015425 | District of Columbia |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 202113062NP-PP | Oregon |
Profile Details
| NPI number | 1619377322 |
|---|---|
| LBN Legal business name | Perez, Antonia |
| Credentials | NP-PP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 29th, 2014 |
| Last updated | Jul 17th, 2023 - about 3 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 | 1619377322 | NPPES |
| District of Columbia | MEDICAID | 1619377322 |
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