Ward, Andrea
Ward, Andrea is an sole proprietor health care provider with primary practice located at 3787 River Rd N Ste A , Keizer OR 97303-4899. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Ward, Andrea can be contacted via phone (503) 569-2879.Contact Information
Primary practice address
3787 River Rd N Ste A
Keizer OR 97303-4899
Phone: (503) 569-2879
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 202109923NP-PP | Oregon |
Profile Details
| NPI number | 1932879418 |
|---|---|
| LBN Legal business name | Ward, Andrea |
| Credentials | PMHNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 16th, 2021 |
| Last updated | Dec 23rd, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932879418 | NPPES |
| Oregon | MEDICAID | 500799433 |
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