Active NPIIndividual provider

Nicole J Bangs, PA-C

Physician Assistant, Surgical in Salem, Oregon

NPI Number1336242536
Practice location
1600 State St, Salem, OR 97301-4257
Fax
503-540-6404
Last updated
February 13, 2014

Nicole J Bangs, PA-C is a Physician Assistant, Surgical based in Salem, OR. Nicole J Bangs, PA-C holds the professional credentials of PA-C. The NPI number for Nicole J Bangs, PA-C is 1336242536 and holds license No. PA156470 (OR). The current practice location address is 1600 State St, Salem, OR 97301-4257 and the office can be reached by phone at 503-540-6300 and by fax at 503-540-6404. The NPI was assigned on September 6, 2006 and the record was last updated in NPPES on February 13, 2014.

●Provider Profile Details

NPI Number
1336242536
Provider Name
Nicole J Bangs
Credential
PA-C
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
No
Enumeration Date
September 6, 2006
Last Update Date
February 13, 2014
NPI Status
Active
Other Names
Nicole J Gallob, PA-C (Former Name)

◉Business Practice Location Address

Address
1600 State St
Salem, OR 97301-4257
City
Salem
State
Oregon
ZIP
97301-4257
Country
US
Phone Number
503-540-6300
Fax Number
503-540-6404

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✉Business Mailing Address

Address
1600 State St
Salem, OR 97301-4257
City
Salem
State
OR
ZIP
97301-4257
Phone Number
503-540-6300
Fax Number
503-540-6404

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Physician Assistant, Surgical363AS0400XYesPA156470OR

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Nicole J Bangs, PA-C?

The NPI number of Nicole J Bangs, PA-C is 1336242536. It was assigned on September 6, 2006 and is currently active in the NPPES registry.

What is the specialty of Nicole J Bangs, PA-C?

Nicole J Bangs, PA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X) and holds license No. PA156470 (OR).

Where does Nicole J Bangs, PA-C practice?

The practice location is 1600 State St, Salem, OR 97301-4257. The office can be reached at 503-540-6300 (phone) or 503-540-6404 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1336242536 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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