Cassidy, Erin P

Cassidy, Erin P is an individual health care provider with primary practice located at 780 Nw Garden Valley Blvd Ste 310 , Roseburg OR 97471-2298. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Cassidy, Erin P can be contacted via phone (541) 640-7625.

Contact Information

Primary practice address
780 Nw Garden Valley Blvd Ste 310 Roseburg OR 97471-2298
Phone: (541) 640-7625
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 200950147NP Oregon
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 200950147NP Oregon

Profile Details

NPI number 1043401201
LBN Legal business name Cassidy, Erin P
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2007
Last updated Jan 24th, 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 1043401201 NPPES
Oregon MEDICAID 500613633

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