Mecum, Patricia L

Mecum, Patricia L is an individual health care provider with primary practice located at 702 Ramsey Ave Ste 112, Grants Pass OR 97527-5572. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mecum, Patricia L can be contacted via phone (541) 472-0603.

Contact Information

Primary practice address
702 Ramsey Ave Ste 112 Grants Pass OR 97527-5572
Phone: (541) 472-0603
Fax: (541) 472-0609
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X Oregon

Profile Details

NPI number 1841293180
LBN Legal business name Mecum, Patricia L
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Jan 14th, 2008 - about 17 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 1841293180 NPPES
Oregon MEDICAID 275474
Oregon Other P00268292

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