Gimse, Loretta

Gimse, Loretta is an individual health care provider with primary practice located at 2120 Ne 59Th Ave , Portland OR 97213-4122. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Gimse, Loretta can be contacted via phone (503) 287-8564.

Contact Information

Primary practice address
2120 Ne 59Th Ave Portland OR 97213-4122
Phone: (503) 287-8564
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 374744 Oregon

Profile Details

NPI number 1639130743
LBN Legal business name Gimse, Loretta
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated Jul 9th, 2007 - about 19 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 1639130743 NPPES
Oregon MEDICAID 015599

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