Archer, Jill
Archer, Jill is an sole proprietor health care provider with primary practice located at 6504 Ne Siskiyou St , Portland OR 97213-4572. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Archer, Jill can be contacted via phone (503) 327-3819.Contact Information
Primary practice address
6504 Ne Siskiyou St
Portland OR 97213-4572
Phone: (503) 327-3819
Fax: (503) 286-7939
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | 17781 | Oregon |
Profile Details
| NPI number | 1568910867 |
|---|---|
| LBN Legal business name | Archer, Jill |
| Credentials | LMT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 14th, 2016 |
| Last updated | Sep 14th, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568910867 | NPPES |
| Oregon | Other | 17781 | 17781 |
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