Gundrum, Barbara Lynne

Gundrum, Barbara Lynne is an individual health care provider with primary practice located at 15 N Morris St , Portland OR 97227-1541. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Gundrum, Barbara Lynne can be contacted via phone (503) 230-9875.

Contact Information

Primary practice address
15 N Morris St Portland OR 97227-1541
Phone: (503) 230-9875
Fax: (503) 230-9877
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X Oregon

Profile Details

NPI number 1710978069
LBN Legal business name Gundrum, Barbara Lynne
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Jul 8th, 2007 - about 17 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 1710978069 NPPES
Oregon MEDICAID 126370

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