Bidwell, Theresa Jainn

Bidwell, Theresa Jainn is an individual health care provider with primary practice located at 8495 Crater Lake Hwy 118-Gv, White City OR 97503-3011. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Bidwell, Theresa Jainn can be contacted via phone (541) 826-2111.

Contact Information

Primary practice address
8495 Crater Lake Hwy 118-Gv White City OR 97503-3011
Phone: (541) 826-2111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA00451 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 392031 California

Profile Details

NPI number 1114966819
LBN Legal business name Bidwell, Theresa Jainn
Credentials FNP/PA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Jan 23rd, 2017 - about 7 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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