Gain, Tina M

Gain, Tina M is an individual health care provider with primary practice located at 380 Ninth Street Peacehealth, Florence OR 97439. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Gain, Tina M can be contacted via phone (541) 997-7134.

Contact Information

Primary practice address
380 Ninth Street Peacehealth Florence OR 97439
Phone: (541) 997-7134
Fax: (541) 902-1320
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 200550130NP NMNP-PP Oregon

Profile Details

NPI number 1932103850
LBN Legal business name Gain, Tina M
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Nov 4th, 2013 - about 12 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 1932103850 NPPES
West Virginia MEDICAID 7102370000

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