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
Fax: (541) 962-7479
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407866221 NPPES
Oregon Other 831399009 REGENCE

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