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:
Health care specialties
Specialty | Code | License # | 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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