Adkisson, Jade Elizabeth

Adkisson, Jade Elizabeth is an sole proprietor health care provider with primary practice located at 8300 Sw Creekside Pl Ste 100 , Beaverton OR 97008-8179. She recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Pharmacy Service Providers / Pharmacist. Pharmacy Service Providers / Pharmacist is her primary health care specialty. Adkisson, Jade Elizabeth can be contacted via phone (503) 346-3370.

Contact Information

Primary practice address
8300 Sw Creekside Pl Ste 100 Beaverton OR 97008-8179
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Pharmacy Service Providers / Pharmacist 183500000X 0007620 Oregon

Profile Details

NPI number 1679124903
LBN Legal business name Adkisson, Jade Elizabeth
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 27th, 2019
Last updated Sep 27th, 2019 - about 6 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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