Brown, Savana Marisa
Brown, Savana Marisa is an sole proprietor health care provider with primary practice located at 520 Medical Center Dr Ste 300 , Medford OR 97504-4316. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Brown, Savana Marisa can be contacted via phone (541) 930-8907.Contact Information
Primary practice address
520 Medical Center Dr Ste 300
Medford OR 97504-4316
Phone: (541) 930-8907
Fax: (541) 245-4820
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA190601 | Oregon |
Profile Details
| NPI number | 1659884401 |
|---|---|
| LBN Legal business name | Brown, Savana Marisa |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 14th, 2017 |
| Last updated | Jul 6th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659884401 | NPPES |
| Oregon | MEDICAID | 500758357 |
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