Durr, Fredrick Aundrae
Durr, Fredrick Aundrae is an individual health care provider with primary practice located at 375 Se Ne Norton Lane Suite A, Mcminnville OR 97128. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Durr, Fredrick Aundrae can be contacted via phone (503) 472-9002.Contact Information
Primary practice address
375 Se Ne Norton Lane Suite A
Mcminnville OR 97128
Phone: (503) 472-9002
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA157429 | Oregon |
Profile Details
| NPI number | 1700149341 |
|---|---|
| LBN Legal business name | Durr, Fredrick Aundrae |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 19th, 2012 |
| Last updated | May 9th, 2014 - about 11 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 | 1700149341 | NPPES |
| Oregon | Other | PA157429 | STATE PA LICENSE NUMBER |
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