Provider Demographics
NPI:1831246057
Name:BARTELL, TEMPIE (FNP-C)
Entity type:Individual
Prefix:
First Name:TEMPIE
Middle Name:
Last Name:BARTELL
Suffix:
Gender:F
Credentials:FNP-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 908
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:OR
Mailing Address - Zip Code:97827-0908
Mailing Address - Country:US
Mailing Address - Phone:541-437-0239
Mailing Address - Fax:541-437-5029
Practice Address - Street 1:720 ALBANY
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:OR
Practice Address - Zip Code:97827-0908
Practice Address - Country:US
Practice Address - Phone:541-437-0239
Practice Address - Fax:541-437-5029
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2010-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR200050027NP-FNP-PP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR292381Medicaid
ORP28565Medicare UPIN