Daniels, Gary Earl

Daniels, Gary Earl is an individual health care provider with primary practice located at 331 Se 2Nd St , Pendleton OR 97801-2224. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Daniels, Gary Earl can be contacted via phone (541) 276-6207.

Contact Information

Primary practice address
331 Se 2Nd St Pendleton OR 97801-2224
Phone: (541) 276-6207
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 200550063NP Oregon
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 200550062NP Oregon

Profile Details

NPI number 1942333091
LBN Legal business name Daniels, Gary Earl
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2007
Last updated Apr 28th, 2021 - about 3 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 1942333091 NPPES
Oregon MEDICAID 279039

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