Kerezsi, Ileana
Kerezsi, Ileana is an sole proprietor health care provider with primary practice located at 3519 Se Cora Dr , Portland OR 97202-3332. She recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as her primary health care specialty. Kerezsi, Ileana can be contacted via phone (503) 235-0852.Contact Information
Primary practice address
3519 Se Cora Dr
Portland OR 97202-3332
Phone: (503) 235-0852
Fax: (503) 239-1888
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Adult Care Home | 311ZA0620X | 572854 | Oregon |
Profile Details
| NPI number | 1013153659 |
|---|---|
| LBN Legal business name | Kerezsi, Ileana |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 4th, 2009 |
| Last updated | Jan 4th, 2009 - about 16 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 | 1013153659 | NPPES |
| Oregon | MEDICAID | 572854 |
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