NATHAN AMBROSE PA STUDENT NPI 1285229500

NPI Information

NPI: 1285229500
Provider Name: NATHAN AMBROSE, PA STUDENT
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
1342 NE MEDICAL CENTER DR
BEND, OR
ZIP 97701
Phone: (541) 388-2333
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Nathan Ambrose, PA STUDENT is a medical physician assistant in Bend, OR with 3 years of experience. Nathan Ambrose, PA STUDENT NPI is 1285229500. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1342 NE MEDICAL CENTER DR
BEND, OR
ZIP 97701-918
Phone: (541) 388-2333
Fax: (541) 388-0930

The NPI 1285229500 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/8/2021 and was last updated on 12/30/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program				No
2	363AM0700X	Physician Assistant	Medical	PA208018	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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