Caldwell, Penelope Ruth
Caldwell, Penelope Ruth is an sole proprietor health care provider with primary practice located at 5050 Ne Hoyt St Suite 353, Portland OR 97213-2991. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Caldwell, Penelope Ruth can be contacted via phone (503) 239-6800.Contact Information
Primary practice address
5050 Ne Hoyt St Suite 353
Portland OR 97213-2991
Phone: (503) 239-6800
Fax: (503) 239-0006
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 19617.0716 | Wyoming |
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 201350088NP | Oregon |
Profile Details
| NPI number | 1558566745 |
|---|---|
| LBN Legal business name | Caldwell, Penelope Ruth |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 18th, 2007 |
| Last updated | Jan 2nd, 2015 - about 10 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 | 1558566745 | NPPES |
| Oregon | MEDICAID | 500672435 |
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