Kiseleva, Irina Leonidovna
Kiseleva, Irina Leonidovna is an individual health care provider with primary practice located at 705 Elm St Sw Ste 200 , Albany OR 97321-1957. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Kiseleva, Irina Leonidovna can be contacted via phone (541) 812-4850.Contact Information
Primary practice address
705 Elm St Sw Ste 200
Albany OR 97321-1957
Phone: (541) 812-4850
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology | 363LX0001X | 200950029NP | Oregon |
Profile Details
| NPI number | 1952533317 |
|---|---|
| LBN Legal business name | Kiseleva, Irina Leonidovna |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2009 |
| Last updated | Nov 3rd, 2020 - about 4 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 | 1952533317 | NPPES |
| Oregon | Other | 200950029NP | STATE LICENSE |
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