Sumano Champlin, Marylyn

Sumano Champlin, Marylyn is an individual health care provider with primary practice located at 1101 I Ave , La Grande OR 97850-2043. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Other Service Providers / Community Health Worker. Nursing Service Providers / Registered Nurse is her primary health care specialty. Sumano Champlin, Marylyn can be contacted via phone (541) 962-0162.

Contact Information

Primary practice address
1101 I Ave La Grande OR 97850-2043
Phone: (541) 962-0162
Fax: (541) 962-0119
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 201505941RN Oregon
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1679029094
LBN Legal business name Sumano Champlin, Marylyn
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2016
Last updated Aug 26th, 2016 - about 10 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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