Garza, Ricardo Omar

Garza, Ricardo Omar is an individual health care provider with primary practice located at 61250 Se Coombs Pl , Bend OR 97702-3704. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Garza, Ricardo Omar can be contacted via phone (541) 706-5930.

Contact Information

Primary practice address
61250 Se Coombs Pl Bend OR 97702-3704
Phone: (541) 706-5930
Fax: (541) 706-5931
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 200450040NP Oregon

Profile Details

NPI number 1467569731
LBN Legal business name Garza, Ricardo Omar
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2006
Last updated Apr 29th, 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 1467569731 NPPES
Oregon MEDICAID 275379

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