Paddock, Larry Allen

Paddock, Larry Allen is an individual health care provider with primary practice located at 2700 Se Stratus Ave , Mcminnville OR 97128-6239. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, which is considered as his primary health care specialty. Paddock, Larry Allen can be contacted via phone (503) 435-6580.

Contact Information

Primary practice address
2700 Se Stratus Ave Mcminnville OR 97128-6239
Phone: (503) 435-6580
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X

Profile Details

NPI number 1174115026
LBN Legal business name Paddock, Larry Allen
Credentials CSFA
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2021
Last updated Feb 10th, 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 1174115026 NPPES
Other 199390 NATIONAL BOARD OF SURGICAL TECHNOLOGY AND SURGICAL ASSISTING

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