Davidson, Joselyn S
Davidson, Joselyn S is an individual health care provider with primary practice located at 3101 Sw Sam Jackson Park Rd , Portland OR 97239-3009. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Anesthesiology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Pediatric Anesthesiology is her primary health care specialty. Davidson, Joselyn S can be contacted via phone (503) 221-3424.Contact Information
Primary practice address
3101 Sw Sam Jackson Park Rd
Portland OR 97239-3009
Phone: (503) 221-3424
Fax: (503) 221-3490
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology | 207LP3000X | MD150383 | Oregon |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
NPI number | 1215071055 |
---|---|
LBN Legal business name | Davidson, Joselyn S |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 16th, 2007 |
Last updated | Nov 19th, 2012 - about 12 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 | 1215071055 | NPPES |
Oregon | Other | MD150383 | LICENSE |
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