Keyton, Victoria Lynn
Keyton, Victoria Lynn is an individual health care provider with primary practice located at 4510 Sw Hall Blvd , Beaverton OR 97005. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Keyton, Victoria Lynn can be contacted via phone (503) 644-1171.Contact Information
Primary practice address
4510 Sw Hall Blvd
Beaverton OR 97005
Phone: (503) 644-1171
Fax: (503) 643-7443
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 200550100NP | Oregon |
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 200550100NP | Oregon |
Profile Details
NPI number | 1124008461 |
---|---|
LBN Legal business name | Keyton, Victoria Lynn |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 20th, 2006 |
Last updated | Jul 27th, 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 | 1124008461 | NPPES |
Oregon | Other | 200550100NP | NP STATE LICENSE |
Oregon | Other | A0705150 | NP STATE LICENSE |
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