Waybrant, Kathleen M

Waybrant, Kathleen M is an individual health care provider with primary practice located at 1813 W Harvard Ave Ste 201, Roseburg OR 97471-2754. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Waybrant, Kathleen M can be contacted via phone (541) 440-6390.

Contact Information

Primary practice address
1813 W Harvard Ave Ste 201 Roseburg OR 97471-2754
Phone: (541) 440-6390
Fax: (541) 440-6392
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 80045889N1 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 080045889N1 Oregon

Profile Details

NPI number 1942273008
LBN Legal business name Waybrant, Kathleen M
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Nov 29th, 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 1942273008 NPPES
Oregon MEDICAID 168395
Oregon Other R103163
Oregon MEDICAID 154971

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