Vernon, Peri Rose
Vernon, Peri Rose is an individual health care provider with primary practice located at 2400 Ne Neff Rd Ste A , Bend OR 97701-6752. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Vernon, Peri Rose can be contacted via phone (541) 389-3300.Contact Information
Primary practice address
2400 Ne Neff Rd Ste A
Bend OR 97701-6752
Phone: (541) 389-3300
Fax: (541) 389-8115
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 202213045NP-PP | Oregon |
Profile Details
| NPI number | 1962121665 |
|---|---|
| LBN Legal business name | Vernon, Peri Rose |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2022 |
| Last updated | Nov 3rd, 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 | 1962121665 | NPPES |
| Other | CNM07819 | AMCB | |
| MEDICAID | 500820093 | AMCB | |
| Other | 202213045NP-PP | AMCB |
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