Gallardo, Jennifer S

Gallardo, Jennifer S is an individual health care provider with primary practice located at 19255 Sw 65Th Ave Ste 220 , Tualatin OR 97062-9717. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Gallardo, Jennifer S can be contacted via phone (503) 885-0228.

Contact Information

Primary practice address
19255 Sw 65Th Ave Ste 220 Tualatin OR 97062-9717
Phone: (503) 885-0228
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X 1000044 Oregon

Profile Details

NPI number 1336271147
LBN Legal business name Gallardo, Jennifer S
Credentials CPM
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2007
Last updated Jul 9th, 2007 - about 18 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 1336271147 NPPES
Oregon MEDICAID 210397

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