Barnum, Mary E

Barnum, Mary E is an individual health care provider with primary practice located at 800 E Main St , Medford OR 97504. 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. Barnum, Mary E can be contacted via phone (541) 608-7683.

Contact Information

Primary practice address
800 E Main St Medford OR 97504
Phone: (541) 608-7683
Fax: (541) 608-7689
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 087000076RN Oregon
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 201050019NP Oregon

Profile Details

NPI number 1528390937
LBN Legal business name Barnum, Mary E
Credentials RN, FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2010
Last updated Sep 16th, 2013 - about 11 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 1528390937 NPPES
Oregon MEDICAID 500635312

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