Bolton, Vicki K
Bolton, Vicki K is an individual health care provider with primary practice located at 4400 Ne Halsey St Bldg 23 , Portland OR 97213-1545. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Community Health, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Bolton, Vicki K can be contacted via phone (888) 227-3312.Contact Information
Primary practice address
4400 Ne Halsey St Bldg 23
Portland OR 97213-1545
Phone: (888) 227-3312
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Community Health | 363LC1500X | AP30005828 | Washington |
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology | 363LX0001X | AP30005828 | Washington |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 202102582NP-PP | Oregon |
Profile Details
NPI number | 1811928187 |
---|---|
LBN Legal business name | Bolton, Vicki K |
Credentials | ARNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 5th, 2006 |
Last updated | Mar 2nd, 2022 - about 3 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 | 1811928187 | NPPES |
Washington | MEDICAID | 9630351 |
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