Yarnall, Crystal J

Yarnall, Crystal J is an sole proprietor health care provider with primary practice located at 4036 S 6Th St Ste 2 , Klamath Falls OR 97603-4750. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Yarnall, Crystal J can be contacted via phone (541) 851-9320.

Contact Information

Primary practice address
4036 S 6Th St Ste 2 Klamath Falls OR 97603-4750
Phone: (541) 851-9320
Fax: (541) 851-9322
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 109002 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A156728 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 202100029NP-PP Oregon

Profile Details

NPI number 1962611129
LBN Legal business name Yarnall, Crystal J
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 22nd, 2007
Last updated Jan 29th, 2021 - about 5 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 1962611129 NPPES
Wisconsin MEDICAID 35011400

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