King, Steven Randall
King, Steven Randall is an individual health care provider with primary practice located at 1303 Ne Cushing Dr Ste 100, Bend OR 97701-3887. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. King, Steven Randall can be contacted via phone (541) 388-2333.Contact Information
Primary practice address
1303 Ne Cushing Dr Ste 100
Bend OR 97701-3887
Phone: (541) 388-2333
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA01236 | Oregon |
Profile Details
| NPI number | 1992715924 |
|---|---|
| LBN Legal business name | King, Steven Randall |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2006 |
| Last updated | Sep 11th, 2018 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992715924 | NPPES |
| Oregon | Other | PA01236 | STATE OF OREGON MEDICAL LICENSE |
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