Gor, Mitaliben Rajendrakumar
Gor, Mitaliben Rajendrakumar is an sole proprietor health care provider with primary practice located at 1900 Woodland Dr , Coos Bay OR 97420-2099. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gor, Mitaliben Rajendrakumar can be contacted via phone (541) 267-5151.Contact Information
Primary practice address
1900 Woodland Dr
Coos Bay OR 97420-2099
Phone: (541) 267-5151
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 201909528NP-PP | Oregon |
Profile Details
| NPI number | 1114564630 |
|---|---|
| LBN Legal business name | Gor, Mitaliben Rajendrakumar |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 3rd, 2019 |
| Last updated | Dec 3rd, 2019 - about 7 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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