Vining, Reta L

Vining, Reta L is an individual health care provider with primary practice located at 2440 Hartman Lane 200, Springfield OR 97877. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Vining, Reta L can be contacted via phone (541) 205-1192.

Contact Information

Primary practice address
2440 Hartman Lane 200 Springfield OR 97877
Phone: (541) 205-1192
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 200450030NP ANP PP Oregon
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 2011031615 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 60081469 Washington
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 08652 Ohio

Profile Details

NPI number 1831152032
LBN Legal business name Vining, Reta L
Credentials ANP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Aug 16th, 2016 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1831152032 NPPES
Oregon MEDICAID 0864364

Popular Providers