Costello, Desiree Porter
Costello, Desiree Porter is an sole proprietor health care provider with primary practice located at 2943 E Burnside St , Portland OR 97214-1831. She recently has only one registered license in Nursing Service Related Providers / Doula, which is considered as her primary health care specialty. Costello, Desiree Porter can be contacted via phone (315) 412-1982.Contact Information
Primary practice address
2943 E Burnside St
Portland OR 97214-1831
Phone: (315) 412-1982
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Doula | 374J00000X |
Profile Details
| NPI number | 1689993263 |
|---|---|
| LBN Legal business name | Costello, Desiree Porter |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 22nd, 2010 |
| Last updated | May 22nd, 2010 - about 15 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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