Cummings, Kristin Lois

Cummings, Kristin Lois is an sole proprietor health care provider with primary practice located at 5329 Ne Martin Luther King Blvd , Portland OR 97211-3237. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Cummings, Kristin Lois can be contacted via phone (503) 988-5183.

Contact Information

Primary practice address
5329 Ne Martin Luther King Blvd Portland OR 97211-3237
Phone: (503) 988-5183
Fax: (503) 988-5182
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 201040123RN Oregon
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 201250003NP Oregon

Profile Details

NPI number 1013190081
LBN Legal business name Cummings, Kristin Lois
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 12th, 2007
Last updated Mar 9th, 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 1013190081 NPPES
Oregon MEDICAID 022959
Oregon MEDICAID 096511

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