Moeller, Lisa A

Moeller, Lisa A is an individual health care provider with primary practice located at 1835 Pearl St , Eugene OR 97401-8217. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Moeller, Lisa A can be contacted via phone (541) 687-1668.

Contact Information

Primary practice address
1835 Pearl St Eugene OR 97401-8217
Phone: (541) 687-1668
Fax: (541) 684-3061
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA00444 Oregon

Profile Details

NPI number 1881674323
LBN Legal business name Moeller, Lisa A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Oct 26th, 2011 - about 13 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 1881674323 NPPES
Oregon MEDICAID 500610815

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