Stahly, Michael L

Stahly, Michael L is an individual health care provider with primary practice located at 1303 Ne Cushing Dr , Bend OR 97701-3730. He recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Stahly, Michael L can be contacted via phone (541) 330-8226.

Contact Information

Primary practice address
1303 Ne Cushing Dr Bend OR 97701-3730
Phone: (541) 330-8226
Fax: (541) 318-0373
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 200540385RN Oregon
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 200550022NP Oregon
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 200550023NP Oregon

Profile Details

NPI number 1487611380
LBN Legal business name Stahly, Michael L
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Sep 26th, 2018 - about 8 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 1487611380 NPPES
Oregon Other P00414327 RAILROAD MEDICARE
Oregon MEDICAID 079934 RAILROAD MEDICARE

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