Averill, Lisa Christine
Averill, Lisa Christine is an individual health care provider with primary practice located at 2700 Se Stratus Ave Suite 301, Mcminnville OR 97128. 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. Averill, Lisa Christine can be contacted via phone (503) 474-1148.Contact Information
Primary practice address
2700 Se Stratus Ave Suite 301
Mcminnville OR 97128
Phone: (503) 474-1148
Fax: (503) 434-6148
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 20050058NP | Oregon |
Profile Details
NPI number | 1467488312 |
---|---|
LBN Legal business name | Averill, Lisa Christine |
Credentials | Certified Nurse Midwife (CNM) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 23rd, 2006 |
Last updated | Jul 8th, 2007 - about 18 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 | 1467488312 | NPPES |
Oregon | MEDICAID | 292902 |
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