Barber, Connie
Barber, Connie is an individual health care provider with primary practice located at 2222 Nw Lovejoy St Suite 606, Portland OR 97210-3033. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Barber, Connie can be contacted via phone (503) 219-8556.Contact Information
Primary practice address
2222 Nw Lovejoy St Suite 606
Portland OR 97210-3033
Phone: (503) 219-8556
Fax: (503) 248-4733
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 000031921N3 | Oregon |
Profile Details
NPI number | 1891787602 |
---|---|
LBN Legal business name | Barber, Connie |
Credentials | Adult Nurse Practitioner (ANP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 17th, 2005 |
Last updated | Oct 8th, 2008 - about 17 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 | 1891787602 | NPPES |
Oregon | MEDICAID | 292349 |
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