Mautner, Dawn Beverly

Mautner, Dawn Beverly is an individual health care provider with primary practice located at 115 Ne May Ln , Mcminnville OR 97128-9272. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mautner, Dawn Beverly can be contacted via phone (503) 472-1338.

Contact Information

Primary practice address
115 Ne May Ln Mcminnville OR 97128-9272
Phone: (503) 472-1338
Fax: (503) 434-8597
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD440181 Pennsylvania

Profile Details

NPI number 1770774598
LBN Legal business name Mautner, Dawn Beverly
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2007
Last updated Jul 21st, 2022 - 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 1770774598 NPPES
New Jersey MEDICAID 0236578
New Jersey MEDICAID 1024835530003

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