Brisco, Patricia Louise

Brisco, Patricia Louise is an individual health care provider with primary practice located at 3355 Riverbend Dr Ste 300 , Springfield OR 97477. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Brisco, Patricia Louise can be contacted via phone (541) 868-9303.

Contact Information

Primary practice address
3355 Riverbend Dr Ste 300 Springfield OR 97477
Phone: (541) 868-9303
Fax: (541) 868-9306
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 201250144NP Oregon

Profile Details

NPI number 1053326900
LBN Legal business name Brisco, Patricia Louise
Credentials ANP, BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2006
Last updated Feb 13th, 2020 - about 4 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 1053326900 NPPES
Oregon MEDICAID 500650807

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