Wahls, Monica M

Wahls, Monica M is an individual health care provider with primary practice located at 1501 Ne Medical Center Dr , Bend OR 97701-6051. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Wahls, Monica M can be contacted via phone (541) 382-4900.

Contact Information

Primary practice address
1501 Ne Medical Center Dr Bend OR 97701-6051
Phone: (541) 382-4900
Fax: (541) 706-2398
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 201391720NP-PP Oregon
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 200150011NP-FNP-PP Oregon

Profile Details

NPI number 1922071182
LBN Legal business name Wahls, Monica M
Credentials FNP, PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated May 4th, 2022 - about 3 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 1922071182 NPPES
Oregon Other J406428 IND PACSOURCE
Oregon Other 000188021 IND PACSOURCE
Oregon Other 500027207 IND PACSOURCE
Oregon MEDICAID 000164 IND PACSOURCE

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