Ciolli, Lauren Elizabeth

Ciolli, Lauren Elizabeth is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd , Portland OR 97239-3011. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Ciolli, Lauren Elizabeth can be contacted via phone (503) 494-7820.

Contact Information

Primary practice address
3181 Sw Sam Jackson Park Rd Portland OR 97239-3011
Phone: (503) 494-7820
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA150467 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA60120088 Washington

Profile Details

NPI number 1568799054
LBN Legal business name Ciolli, Lauren Elizabeth
Credentials P.A.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2009
Last updated Feb 17th, 2017 - about 8 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 1568799054 NPPES
Oregon MEDICAID 500615034
Oregon MEDICAID 8560195

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