York, Angela Renee

York, Angela Renee is an sole proprietor health care provider with primary practice located at 1900 Woodland Dr , Coos Bay OR 97420-2099. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. York, Angela Renee can be contacted via phone (541) 267-5151.

Contact Information

Primary practice address
1900 Woodland Dr Coos Bay OR 97420-2099
Phone: (541) 267-5151
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 102436 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 201150055NP Oregon

Profile Details

NPI number 1063457612
LBN Legal business name York, Angela Renee
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 18th, 2006
Last updated Nov 4th, 2020 - about 5 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 1063457612 NPPES
Oregon Other 1407812365 NBMC-MAIN GROUP NPI
Oregon Other 93-0635514 NBMC-MAIN GROUP NPI
Oregon Other 161133 NBMC-MAIN GROUP NPI
Oregon MEDICAID 500635199 NBMC-MAIN GROUP NPI
Oregon Other R0000WFBTV NBMC-MAIN GROUP NPI
Oregon MEDICAID 39234355 NBMC-MAIN GROUP NPI

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