Simard, Marissa Lynne
Simard, Marissa Lynne is an individual health care provider with primary practice located at 920 Country Club Rd Suite 100A, Eugene OR 97401-6024. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Simard, Marissa Lynne can be contacted via phone (541) 242-4162.Contact Information
Primary practice address
920 Country Club Rd Suite 100A
Eugene OR 97401-6024
Phone: (541) 242-4162
Fax: (541) 345-2358
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD161986 | Oregon |
Profile Details
| NPI number | 1972784486 |
|---|---|
| LBN Legal business name | Simard, Marissa Lynne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 27th, 2007 |
| Last updated | Jan 16th, 2014 - about 10 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 | 1972784486 | NPPES |
| Other | 1972784486 | NPI | |
| MEDICAID | 500659534 | NPI |
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