Abbey, Alyssa D

Abbey, Alyssa D is an individual health care provider with primary practice located at 2195 Nw Shevlin Park Rd Ste 100 , Bend OR 97703-7102. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Abbey, Alyssa D can be contacted via phone (541) 706-3819.

Contact Information

Primary practice address
2195 Nw Shevlin Park Rd Ste 100 Bend OR 97703-7102
Phone: (541) 706-3819
Fax: (541) 429-6659
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA01225 Oregon

Profile Details

NPI number 1992830152
LBN Legal business name Abbey, Alyssa D
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2007
Last updated Mar 17th, 2018 - about 6 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 1992830152 NPPES
Oregon Other 11933680 CAQH
Oregon MEDICAID 500605198 CAQH
Oregon Other 00834446 CAQH

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