Canwell, Bryan Lee

Canwell, Bryan Lee is an individual health care provider with primary practice located at 46314 Timine Way , Pendleton OR 97801. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Canwell, Bryan Lee can be contacted via phone (541) 966-9830.

Contact Information

Primary practice address
46314 Timine Way Pendleton OR 97801
Phone: (541) 966-9830
Fax: (541) 240-8751
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA157064 Oregon

Profile Details

NPI number 1598741860
LBN Legal business name Canwell, Bryan Lee
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2005
Last updated Aug 12th, 2020 - about 5 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 1598741860 NPPES
Washington MEDICAID 8370884
Washington Other 8944528
Washington MEDICAID 500650388

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