Dahlquist, Nanette Elaine Dudley
Dahlquist, Nanette Elaine Dudley is an individual health care provider with primary practice located at 445 E Main St , Hillsboro OR 97123-4084. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Dahlquist, Nanette Elaine Dudley can be contacted via phone (503) 640-2757.Contact Information
Primary practice address
445 E Main St
Hillsboro OR 97123-4084
Phone: (503) 640-2757
Fax: (503) 640-9753
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD14724 | Oregon |
Profile Details
| NPI number | 1114914629 |
|---|---|
| LBN Legal business name | Dahlquist, Nanette Elaine Dudley |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2005 |
| Last updated | Apr 11th, 2013 - about 11 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 | 1114914629 | NPPES |
| Oregon | Other | 023873004 | BLUE CROSS/BLUE SHIELD |
| Oregon | Other | R163731 | BLUE CROSS/BLUE SHIELD |
| Oregon | MEDICAID | 055830 | BLUE CROSS/BLUE SHIELD |
| Oregon | Other | 2758602 | BLUE CROSS/BLUE SHIELD |
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