Davidson, Marsha Rae

Davidson, Marsha Rae is an individual health care provider with primary practice located at 1508 Division St Ste 15, Oregon City OR 97045-1582. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Davidson, Marsha Rae can be contacted via phone (503) 657-5555.

Contact Information

Primary practice address
1508 Division St Ste 15 Oregon City OR 97045-1582
Phone: (503) 657-5555
Fax: (503) 657-6502
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X Oregon

Profile Details

NPI number 1871589457
LBN Legal business name Davidson, Marsha Rae
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Jul 8th, 2007 - about 17 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 1871589457 NPPES
Oregon MEDICAID 100290

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