Black, Jessica K
Black, Jessica K is an individual health care provider with primary practice located at 330 Se Baker St Unit 3, Mcminnville OR 97128-6038. She recently has only one registered license in Other Service Providers / Naturopath, which is considered as her primary health care specialty. Black, Jessica K can be contacted via phone (503) 883-0333.Contact Information
Primary practice address
330 Se Baker St Unit 3
Mcminnville OR 97128-6038
Phone: (503) 883-0333
Fax: (503) 883-0330
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Naturopath | 175F00000X | 1263 | Oregon |
Profile Details
| NPI number | 1134305337 |
|---|---|
| LBN Legal business name | Black, Jessica K |
| Credentials | ND |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 17th, 2008 |
| Last updated | Sep 13th, 2013 - about 11 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 | 1134305337 | NPPES |
| Oregon | MEDICAID | 234882 |
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