Angela Ellise Watson in Springfield - Physician Assistant
Angela Ellise Watson - NPI 1003823022
Angela Ellise Watson is a Physician Assistant in Springfield, Oregon. Angela Ellise Watson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Angela Ellise Watson is 1003823022. The last update date is 2022-09-28.
Angela Ellise Watson's current location address is 2400 Hartman Ln, Springfield, Oregon. You can contact this provider via phone number 5413343350 and fax number 5412845198. The mailing address for Angela Ellise Watson is 2400 Hartman Ln, Springfield, Oregon. To know further, please read the information below!
Provider Profile Detail
Provider Name | Angela Ellise Watson |
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Address | 2400 Hartman Ln, Springfield, Oregon |
Phone Number | 5413343350 |
Fax Number | 5412845198 |
Sole Proprietor | N |
Credentials | PAC |
NPI Number Detail
NPI Number | 1003823022 |
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Provider Enumeration Date | 2006-08-02 |
Last Updated Date | 2022-09-28 |
Provider Mailing Address Detail
Address | 2400 Hartman Ln |
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City | Springfield |
State | Oregon (OR) |
Post Code | 974771118 |
Phone Number | 5413343350 |
Fax Number | 5412845198 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | PA00394 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the Angela Ellise Watson's unique identification number?
The Angela Ellise Watson has been assigned the NPI (National Provider Identifier) Number 1003823022 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Angela Ellise Watson is located?
The Angela Ellise Watson is situated at the following address: 2400 Hartman Ln, Springfield, OR, 974771118.
What is the Angela Ellise Watson's specialty and taxonomy code?
The Angela Ellise Watson's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date did the Angela Ellise Watson receive the assignment of its 1003823022 from the Centers for Medicare & Medicaid Services?
The Angela Ellise Watson was issued its 1003823022 by the Centers for Medicare & Medicaid Services on 2006-08-02.
As of what date were the details pertaining to Angela Ellise Watson last refreshed?
The information related to the Angela Ellise Watson, including its address, specialty, and other relevant details, was last updated on 2022-09-28.