Bridges, Nicole Lynn

Bridges, Nicole Lynn is an individual health care provider with primary practice located at 14617 Se Mcloughlin Blvd , Milwaukie OR 97267-1416. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bridges, Nicole Lynn can be contacted via phone (503) 962-1782.

Contact Information

Primary practice address
14617 Se Mcloughlin Blvd Milwaukie OR 97267-1416
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 201390924NP-PP Oregon

Profile Details

NPI number 1609208891
LBN Legal business name Bridges, Nicole Lynn
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2013
Last updated Sep 18th, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1609208891 NPPES
Oregon MEDICAID 500660850

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