Delplanche, Jacquelyn M.
Delplanche, Jacquelyn M. is an individual health care provider with primary practice located at 20 Nw 185Th Ave , Aloha OR 97006-3507. She recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Vision Therapy, Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Pediatrics. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Delplanche, Jacquelyn M. can be contacted via phone (503) 629-5200.Contact Information
Primary practice address
20 Nw 185Th Ave
Aloha OR 97006-3507
Phone: (503) 629-5200
Fax: (503) 629-0419
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 3024ATI | Oregon |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3024ATI | Oregon |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | 3024ATI | Oregon |
Profile Details
| NPI number | 1497889067 |
|---|---|
| LBN Legal business name | Delplanche, Jacquelyn M. |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 15th, 2007 |
| Last updated | Oct 12th, 2010 - about 14 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 | 1497889067 | NPPES |
| Oregon | Other | R154528 | MEDICARE PTAN |
| Oregon | Other | 115639 | MEDICARE PTAN |
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