Hansell, Phyllis Leppke

Hansell, Phyllis Leppke is an sole proprietor health care provider with primary practice located at 600 Nw 11Th St Ste E37 , Hermiston OR 97838-8604. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Hansell, Phyllis Leppke can be contacted via phone (541) 567-5305.

Contact Information

Primary practice address
600 Nw 11Th St Ste E37 Hermiston OR 97838-8604
Fax: (541) 667-3487
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 200050032NP Oregon

Profile Details

NPI number 1023101631
LBN Legal business name Hansell, Phyllis Leppke
Credentials FNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 2nd, 2006
Last updated Jul 31st, 2019 - about 6 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 1023101631 NPPES
Oregon MEDICAID 237486

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