Coulson, Marie Ann
Coulson, Marie Ann is an individual health care provider with primary practice located at 14988 Se Division St , Portland OR 97236-2337. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Coulson, Marie Ann can be contacted via phone (503) 960-1511.Contact Information
Primary practice address
14988 Se Division St
Portland OR 97236-2337
Phone: (503) 960-1511
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X | 13 | Oregon |
Profile Details
| NPI number | 1366898074 |
|---|---|
| LBN Legal business name | Coulson, Marie Ann |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2016 |
| Last updated | Mar 9th, 2018 - about 7 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 | 1366898074 | NPPES |
| Oregon | MEDICAID | 743962 | |
| Oregon | MEDICAID | 811695 |
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