Chickadonz, Lisa J

Chickadonz, Lisa J is an individual health care provider with primary practice located at 2705 E Burnside St Suite 114, Portland OR 97214-1763. 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. Chickadonz, Lisa J can be contacted via phone (503) 215-6262.

Contact Information

Primary practice address
2705 E Burnside St Suite 114 Portland OR 97214-1763
Phone: (503) 215-6262
Fax: (503) 234-5437
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 082009965N5 Oregon

Profile Details

NPI number 1285795005
LBN Legal business name Chickadonz, Lisa J
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Jul 8th, 2007 - about 18 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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