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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 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 1992715924 NPPES
Oregon Other PA01236 STATE OF OREGON MEDICAL LICENSE

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