Willis, Lynn A
Willis, Lynn A is an individual health care provider with primary practice located at 401 Adams Ave , La Grande OR 97850-1619. 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. Willis, Lynn A can be contacted via phone (541) 786-8604.Contact Information
Primary practice address
401 Adams Ave
La Grande OR 97850-1619
Phone: (541) 786-8604
Fax: (541) 962-7479
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 200550083NP | Oregon |
Profile Details
NPI number | 1407866221 |
---|---|
LBN Legal business name | Willis, Lynn A |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 8th, 2006 |
Last updated | Jan 25th, 2016 - about 9 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 | 1407866221 | NPPES |
Oregon | Other | 831399009 | REGENCE |
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