Holmes, Cynthia Louise
Holmes, Cynthia Louise is an individual health care provider with primary practice located at 1890 Waite St Suite 1, North Bend OR 97459-1229. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Holmes, Cynthia Louise can be contacted via phone (541) 756-6232.Contact Information
Primary practice address
1890 Waite St Suite 1
North Bend OR 97459-1229
Phone: (541) 756-6232
Fax: (541) 756-6234
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA01102 | Oregon |
Profile Details
| NPI number | 1932150471 |
|---|---|
| LBN Legal business name | Holmes, Cynthia Louise |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2006 |
| Last updated | Aug 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932150471 | NPPES |
| Other | 1619915113 | WATERFALL CLINIC, INC. GROUP NPI | |
| MEDICAID | 213342 | WATERFALL CLINIC, INC. GROUP NPI | |
| Other | 381902 | WATERFALL CLINIC, INC. GROUP NPI |
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