Fatu, Jessika

Fatu, Jessika is an sole proprietor health care provider with primary practice located at 6736 Ne Killingsworth St , Portland OR 97218-3338. She recently has only one registered license in Ambulatory Health Care Facilities / Community Health, which is considered as her primary health care specialty. Fatu, Jessika can be contacted via phone (503) 351-3955.

Contact Information

Primary practice address
6736 Ne Killingsworth St Portland OR 97218-3338
Phone: (503) 351-3955
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Community Health 261QC1500X

Profile Details

NPI number 1366018343
LBN Legal business name Fatu, Jessika
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 1st, 2021
Last updated Jun 1st, 2021 - about 4 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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