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
Fax: (503) 210-5974
Website:

Health care specialties

SpecialtyCodeLicense #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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1386122687 NPPES
Oregon MEDICAID 500745787

Popular Providers