MR. GLEN MARVIN INTERMILL (NPI# 1992877963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992877963 |
| Entity Type | Individual |
| Full Name | MR. GLEN MARVIN INTERMILL |
| Credential | CRNFA |
| Practice Address |
1222 Craiglea Dr Eagle Point OR 97524-9617 |
| Practice Telephone | 5415353820 |
| Practice Fax Number | 5415353821 |
| Mailing Telephone | 5415353820 |
| Mailing Fax Number | 5415353821 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WR0006X |
Registered Nurse Specialization: Registered Nurse First Assistant |
OR | Nursing Service Providers |
| Street Address |
1222 CRAIGLEA DR |
| City | EAGLE POINT |
| State | OR |
| Zip Code | 97524-9617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497373021 | Jennifer Schmidt | Psychologist | 995 Stonewater Dr., Eagle Point, OR 97524 | 2020-07-09 |
| 1639682834 | Marianne Arasmith | Massage Therapist | 6443 Monte Vista Ct, Eagle Point, OR 97524 | 2017-11-09 |
| 1437566163 | Mandy Dawn Walden | Behavioral Analyst | 360 N. Deanjou Ave, Eagle Point, OR 97524 | 2014-07-15 |
| 1710313200 | Casey Joe Winkler | Behavioral Analyst | 587 Sherman Way, Eagle Point, OR 97524 | 2013-09-17 |
| 1871745901 | Keith Fusao Ogawa | Dentist | 217 W. Main St., Eagle Point, OR 97524 | 2008-10-21 |
| 1578729893 | Tina Louise Matthews | Massage Therapist | 151 West Linn Rd, F6, Eagle Point, OR 97524 | 2008-08-06 |
| 1588700819 | Greg Gonzalez Pediatrics | Clinic/Center | 275 Loto Street, Eagle Point, OR 97524 | 2007-01-30 |
| 1194876235 | Donald Kirk Wolf | Physical Therapist | 158 Main, Eagle Point, OR 97524 | 2007-01-16 |
| 1780759985 | Eagle Point Dental Group,p.c. | Dentist | 217 W Main Street, Eagle Point, OR 97524 | 2006-11-22 |
| 1831268515 | Carmen D Edwards-henry | Speech-Language Pathologist | 1020 Highlands Drive, Eagle Point, OR 97524 | 2006-11-07 |
| Find all providers in zip 97524 | ||||
| Taxonomy Code | 163WR0006X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Registered Nurse First Assistant |
| A perioperative registered nurse who works in collaboration with the surgeon and other health care team members to achieve optimal outcomes. The RNFA has acquired the necessary knowledge, judgment, and skills specific to the expanded role of RNFA clinical practice. Intraoperatively, the RNFA assists the surgeon. |
| Notes: Source: AORN Official Statement on RNFAs ratified by the AORN House of Delegates in 2004. [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518590538 | Julie Kay Igarta | Registered Nurse | 140 Northwest 14th Avenue, Portland, OR 97209 | 2020-02-18 |
| 1962066308 | B Christine S Hollingsworth | Registered Nurse | 3200 Hillcrest Park Dr Ste 200, Medford, OR 97504-7686 | 2019-04-30 |
| 1023582293 | Samantha Schmit | Registered Nurse | 2525 12th St Se, Salem, OR 97302-2153 | 2019-01-21 |
| 1134603038 | Melissa Blagden | Registered Nurse | 12180 Sw Merestone Court, Tigard, OR 97223-9722 | 2018-09-18 |
| 1982186300 | Dean Alan Hopkins | Registered Nurse | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225 | 2018-09-01 |
| 1770958076 | David Clemans | Registered Nurse | 215 S Church St #7, Newberg, OR 97132-3211 | 2015-12-11 |
| 1295083962 | Janine Deborah Smith | Registered Nurse | 875 Oak St Se Ste 4060, Salem, OR 97301-3990 | 2012-08-28 |
| 1144580259 | River Road First Assisting | Registered Nurse | 5434 River Rd N, #216, Keizer, OR 97303-4429 | 2012-05-22 |
| 1710264189 | Awh Surgical First Assisting Inc. | Registered Nurse | 1423 84th Pl Se, Salem, OR 97317-9013 | 2011-11-13 |
| 1114208568 | Terry Lynn Nelson | Registered Nurse | 4287 Cloudview Dr S, Salem, OR 97302-2781 | 2011-08-30 |
| Find all providers with the same taxonomy | ||||
| City | EAGLE POINT |
| Zip Code | 97524 |
Please comment or provide details below to improve the information on MR. GLEN MARVIN INTERMILL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.