Rysenga, Julie Catherine

Rysenga, Julie Catherine is an individual health care provider with primary practice located at 1050 Sw 3Rd Ave Suite 2200, Ontario OR 97914-2193. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Rysenga, Julie Catherine can be contacted via phone (541) 881-1300.

Contact Information

Primary practice address
1050 Sw 3Rd Ave Suite 2200 Ontario OR 97914-2193
Phone: (541) 881-1300
Fax: (541) 889-4321
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 18740 Oregon

Profile Details

NPI number 1023082138
LBN Legal business name Rysenga, Julie Catherine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Jul 8th, 2007 - 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 1023082138 NPPES
Idaho Other BBMD2 BLUE CROSS OF ID
Idaho MEDICAID 064472 BLUE CROSS OF ID

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