Nicole E. Myers, PA-C
Physician Assistant, Medical in Nyssa, OR. Individual provider (NPI-1).
NPI number1174620249
StatusActive
Last updated in NPPESMar 31, 2008
Details
- NPI
- 1174620249
- Entity type
- Individual (NPI-1)
- Name
- Nicole E. Myers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 20, 2006
- Last updated
- Mar 31, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | PA01135 | OR | Yes |
Practice location
17 S 3rd StNyssa, OR 97913-3815
Phone 541-372-5738 · Fax 541-372-5732
Mailing address
17 S 3rd StNyssa, OR 97913-3815
Phone 541-372-5738 · Fax 541-372-5732
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