Individual
MS. MARLA ANN MUHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA168081
OR
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
C05196
MD
363AS0400X
Surgical Physician Assistant
Primary
C05196
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407812365
GROUP NPI NORTH BEND MEDICAL CENTER
OR
01
—
161133
GROUP MEDICAID NORTH BEND MEDICAL CENTER
OR
05
—
500672853
—
OR
01
—
93-0635514
GROUP TAX ID NORTH BEND MEDICAL CENTER
OR
01
—
P01365786
RAILROAD MEDICARE
OR
01
—
R0000WFBTV
GROUP MEDICARE NORTH BEND MEDICAL CENTER
OR
Enumeration date
09/16/2013
Last updated
10/19/2022
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