Christiansen, Jennifer Hope
Christiansen, Jennifer Hope is an individual health care provider with primary practice located at 265 N Broadway St , Portland OR 97227-1800. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Christiansen, Jennifer Hope can be contacted via phone (503) 274-4885.Contact Information
Primary practice address
265 N Broadway St
Portland OR 97227-1800
Phone: (503) 274-4885
Fax: (503) 274-4814
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA00954 | Oregon |
Profile Details
NPI number | 1851394878 |
---|---|
LBN Legal business name | Christiansen, Jennifer Hope |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 23rd, 2005 |
Last updated | Dec 22nd, 2011 - about 14 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 | 1851394878 | NPPES |
Oregon | MEDICAID | 500605481 | |
Oregon | MEDICAID | 1020624 |
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