Acosta, Julia

Acosta, Julia is an individual health care provider with primary practice located at 17882 Se Mcloughlin Blvd , Milwaukie OR 97267-6103. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Acosta, Julia can be contacted via phone (503) 353-9415.

Contact Information

Primary practice address
17882 Se Mcloughlin Blvd Milwaukie OR 97267-6103
Phone: (503) 353-9415
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X OR-10042-M Oregon

Profile Details

NPI number 1902260458
LBN Legal business name Acosta, Julia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2016
Last updated Apr 11th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902260458 NPPES
Oregon MEDICAID 292910

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