Severin, Anna U

Severin, Anna U is an individual health care provider with primary practice located at 1000 Se Uglow Ave , Dallas OR 97338-2645. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Severin, Anna U can be contacted via phone (503) 623-8376.

Contact Information

Primary practice address
1000 Se Uglow Ave Dallas OR 97338-2645
Phone: (503) 623-8376
Fax: (503) 623-5293
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA00266 Oregon

Profile Details

NPI number 1336102201
LBN Legal business name Severin, Anna U
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Feb 16th, 2010 - about 15 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 1336102201 NPPES
Oregon MEDICAID 231084

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