Gwinn, Diana Elizabeth
Gwinn, Diana Elizabeth is an sole proprietor health care provider with primary practice located at 16405 Ne Fargo Cir , Portland OR 97230-5513. She recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as her primary health care specialty. Gwinn, Diana Elizabeth can be contacted via phone (503) 484-7287.Contact Information
Primary practice address
16405 Ne Fargo Cir
Portland OR 97230-5513
Phone: (503) 484-7287
Fax: (503) 210-5974
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing & Custodial Care Facilities / Adult Care Home | 311ZA0620X | 10465 | Oregon |
Profile Details
NPI number | 1386122687 |
---|---|
LBN Legal business name | Gwinn, Diana Elizabeth |
Credentials | DD1 |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 30th, 2018 |
Last updated | Jul 30th, 2018 - about 6 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1386122687 | NPPES |
Oregon | MEDICAID | 500745787 |
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