Conley, Sean Patrick

Conley, Sean Patrick is an individual health care provider with primary practice located at 5050 Ne Hoyt St Ste 340 , Portland OR 97213-2983. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Conley, Sean Patrick can be contacted via phone (503) 234-9861.

Contact Information

Primary practice address
5050 Ne Hoyt St Ste 340 Portland OR 97213-2983
Phone: (503) 234-9861
Fax: (503) 238-0873
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA213182 Oregon

Profile Details

NPI number 1043804206
LBN Legal business name Conley, Sean Patrick
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2021
Last updated Dec 7th, 2023 - about 2 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 1043804206 NPPES
Washington MEDICAID 2232236
Washington MEDICAID 500813221

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