Bartholow, Lydia Anne M
Bartholow, Lydia Anne M is an sole proprietor health care provider with primary practice located at 1027 E Burnside St , Portland OR 97214-1328. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Bartholow, Lydia Anne M can be contacted via phone (503) 239-8400.Contact Information
Primary practice address
1027 E Burnside St
Portland OR 97214-1328
Phone: (503) 239-8400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 201250177NP | Oregon |
Profile Details
| NPI number | 1790038271 |
|---|---|
| LBN Legal business name | Bartholow, Lydia Anne M |
| Credentials | PMHNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 20th, 2012 |
| Last updated | Mar 9th, 2020 - about 4 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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