Rickard, Marcia Ellen

Rickard, Marcia Ellen is an individual health care provider with primary practice located at 500 5Th St , Brookings OR 97415-9702. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Rickard, Marcia Ellen can be contacted via phone (541) 412-2000.

Contact Information

Primary practice address
500 5Th St Brookings OR 97415-9702
Phone: (541) 412-2000
Fax: (541) 412-2081
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 15690 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 201900061NP-PP Oregon

Profile Details

NPI number 1710909874
LBN Legal business name Rickard, Marcia Ellen
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Oct 21st, 2020 - about 6 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 1710909874 NPPES
Oregon MEDICAID 500758475
Oregon Other 1083656367
Oregon Other 1346486818
Oregon Other 1487696985

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