Provider Demographics
NPI:1821151309
Name:CARTWRIGHT, BILLIE LYNN (PA-C)
Entity Type:Individual
Prefix:MS
First Name:BILLIE
Middle Name:LYNN
Last Name:CARTWRIGHT
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1710
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97709-1710
Mailing Address - Country:US
Mailing Address - Phone:541-504-2218
Mailing Address - Fax:541-312-4480
Practice Address - Street 1:408 NE 4TH STE
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701
Practice Address - Country:US
Practice Address - Phone:541-617-7365
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1535072084A0401X
ORPA 153507363A00000X
WAPA60026556363A00000X
NC001000727363A00000X
CAPA55546363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500642242Medicaid
OR500642242Medicaid