Leister, Julie Anne

Leister, Julie Anne is an individual health care provider with primary practice located at 3031 Ne Stephens St , Roseburg OR 97470-6237. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Leister, Julie Anne can be contacted via phone (541) 229-7038.

Contact Information

Primary practice address
3031 Ne Stephens St Roseburg OR 97470-6237
Phone: (541) 229-7038
Fax: (541) 464-4474
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 202112008NP-PP Oregon

Profile Details

NPI number 1902569320
LBN Legal business name Leister, Julie Anne
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2021
Last updated Oct 21st, 2021 - about 3 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 1902569320 NPPES
Oregon Other 202112008NP-PP OREGON NURSING BOARD LICENSE

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