Sargent, Andrew
Sargent, Andrew is an individual health care provider with primary practice located at 1501 Ne Medical Center Dr , Bend OR 97701-6051. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Sargent, Andrew can be contacted via phone (541) 382-2811.Contact Information
Primary practice address
1501 Ne Medical Center Dr
Bend OR 97701-6051
Phone: (541) 382-2811
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 85080883 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA01458 | Oregon |
Profile Details
| NPI number | 1184624223 |
|---|---|
| LBN Legal business name | Sargent, Andrew |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 29th, 2005 |
| Last updated | Mar 29th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184624223 | NPPES |
| Oregon | MEDICAID | 500607059 | |
| Oregon | Other | 00887740 |
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