Driskell, Jerald William

Driskell, Jerald William is an sole proprietor health care provider with primary practice located at 2850 Se Powell Valley Rd , Gresham OR 97080. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Driskell, Jerald William can be contacted via phone (503) 666-5050.

Contact Information

Primary practice address
2850 Se Powell Valley Rd Gresham OR 97080
Phone: (503) 666-5050
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 200740644RN Oregon
Nursing Service Providers / Registered Nurse 163W00000X 509631 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 509631 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 200750068NP Oregon

Profile Details

NPI number 1578766861
LBN Legal business name Driskell, Jerald William
Credentials R.N., FNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 6th, 2007
Last updated Sep 2nd, 2016 - 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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