Eddington, Joanne T

Eddington, Joanne T is an individual health care provider with primary practice located at 9135 Sw Barnes Rd Ste 261, Portland OR 97225-6784. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Eddington, Joanne T can be contacted via phone (503) 216-6300.

Contact Information

Primary practice address
9135 Sw Barnes Rd Ste 261 Portland OR 97225-6784
Phone: (503) 216-6300
Fax: (503) 203-1010
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 200050047NP Oregon
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 200050047NP Oregon

Profile Details

NPI number 1417950015
LBN Legal business name Eddington, Joanne T
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Mar 9th, 2021 - about 3 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 1417950015 NPPES
Oregon MEDICAID 238943

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