Irvin, Carlie D
Irvin, Carlie D is an individual health care provider with primary practice located at 500 Sw Ramsey Ave , Grants Pass OR 97527-5554. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Irvin, Carlie D can be contacted via phone (541) 472-7000.Contact Information
Primary practice address
500 Sw Ramsey Ave
Grants Pass OR 97527-5554
Phone: (541) 472-7000
Fax: (541) 776-2892
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 200850141NP | Oregon |
Profile Details
| NPI number | 1437302940 |
|---|---|
| LBN Legal business name | Irvin, Carlie D |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 28th, 2008 |
| Last updated | Dec 27th, 2012 - 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 | 1437302940 | NPPES |
| Oregon | MEDICAID | 227698 |
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