Autumn D Mercer Agnp-C Llc

LBN: Autumn D Mercer Agnp-C Llc
Autumn D Mercer Agnp-C Llc is an health care organization with primary practice located at 620 N 5Th St , Jacksonville OR 97530-9659. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as the primary health care specialty. Autumn D Mercer Agnp-C Llc can be contacted via phone (503) 309-8026, or through Mercer, Autumn Dawn via phone (503) 309-8026.

Contact Information

Primary practice address
620 N 5Th St Jacksonville OR 97530-9659
Phone: (503) 309-8026
Fax: (541) 291-9819
Website:
Map and Directions
Authorized official contact:
Name: Mercer, Autumn Dawn
Phone: (503) 309-8026

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X

Profile Details

NPI number 1790241065
LBN Legal business name Autumn D Mercer Agnp-C Llc
DBA Doing business as
Authorized official Mercer, Autumn Dawn
Entity Organization
Organization subpart 1 No
Enumeration date Feb 12th, 2019
Last updated Oct 24th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790241065 NPPES
Oregon MEDICAID 500733407

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