Poisson, Brett A

Poisson, Brett A is an individual health care provider with primary practice located at 3011 E Barnett Rd , Medford OR 97504. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Poisson, Brett A can be contacted via phone (541) 789-4673.

Contact Information

Primary practice address
3011 E Barnett Rd Medford OR 97504
Fax: (541) 789-2121
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X MD23704 Oregon

Profile Details

NPI number 1255383337
LBN Legal business name Poisson, Brett A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Jan 18th, 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 1255383337 NPPES
Oregon MEDICAID 286924

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