Mcfadyen, Jonathan Andrew

Mcfadyen, Jonathan Andrew is an individual health care provider with primary practice located at 1501 Ne Medical Center Dr , Bend OR 97701-6051. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Mcfadyen, Jonathan Andrew can be contacted via phone (541) 382-2811.

Contact Information

Primary practice address
1501 Ne Medical Center Dr Bend OR 97701-6051
Phone: (541) 382-2811
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 201050079NP Oregon

Profile Details

NPI number 1003136334
LBN Legal business name Mcfadyen, Jonathan Andrew
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2010
Last updated Apr 7th, 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 1003136334 NPPES
Oregon MEDICAID 500623623
Oregon Other 00936658

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