Vernon, Peri Rose

Vernon, Peri Rose is an individual health care provider with primary practice located at 2400 Ne Neff Rd Ste A , Bend OR 97701-6752. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Vernon, Peri Rose can be contacted via phone (541) 389-3300.

Contact Information

Primary practice address
2400 Ne Neff Rd Ste A Bend OR 97701-6752
Fax: (541) 389-8115
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 202213045NP-PP Oregon

Profile Details

NPI number 1962121665
LBN Legal business name Vernon, Peri Rose
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2022
Last updated Nov 3rd, 2023 - about last year

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 1962121665 NPPES
Other CNM07819 AMCB
MEDICAID 500820093 AMCB
Other 202213045NP-PP AMCB

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