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Contact Information

CAMERON R MORTENSEN, PA
1606 23RD AVE
FAIRBANKS, AK99701-6407
 Phone: 907-455-4567
 Fax: 907-458-1580
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CAMERON R MORTENSEN · (Male)

NPI Number 1902955826
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 01/09/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • Other 1074009 NATIONAL CERTIFICATION
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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