Smith, Nathan Bryan

Smith, Nathan Bryan is an individual health care provider with primary practice located at 743 Country Club Rd , Eugene OR 97401-6019. 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. Smith, Nathan Bryan can be contacted via phone (541) 681-5090.

Contact Information

Primary practice address
743 Country Club Rd Eugene OR 97401-6019
Phone: (541) 681-5090
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA10004600 Washington
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA01365 Oregon

Profile Details

NPI number 1154309326
LBN Legal business name Smith, Nathan Bryan
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2006
Last updated Nov 5th, 2009 - about 16 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 1154309326 NPPES
Washington Other 0208529 LDI
Washington Other 8941241 LDI
Washington MEDICAID 8379174 LDI

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