Warner, Reta Diane
Warner, Reta Diane is an sole proprietor health care provider with primary practice located at 3425 13Th St , Baker City OR 97814-1340. 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. Warner, Reta Diane can be contacted via phone (541) 523-7400.Contact Information
Primary practice address
3425 13Th St
Baker City OR 97814-1340
Phone: (541) 523-7400
Fax: (541) 523-4927
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 201250138NP | Oregon |
Profile Details
| NPI number | 1841540705 |
|---|---|
| LBN Legal business name | Warner, Reta Diane |
| Credentials | PMHNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 18th, 2012 |
| Last updated | Jun 21st, 2022 - about 2 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 | 1841540705 | NPPES |
| Oregon | MEDICAID | 500666144 |
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