Kodiaq, Aimee
Kodiaq, Aimee is an individual health care provider with primary practice located at 913 Nw Garden Valley Blvd , Roseburg OR 97471-6523. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kodiaq, Aimee can be contacted via phone (541) 440-1000.Contact Information
Primary practice address
913 Nw Garden Valley Blvd
Roseburg OR 97471-6523
Phone: (541) 440-1000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 4984 | Colorado |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 20075D066NP | Oregon |
Profile Details
NPI number | 1760517098 |
---|---|
LBN Legal business name | Kodiaq, Aimee |
Credentials | Family Nurse Practitioner (FNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 23rd, 2007 |
Last updated | Nov 18th, 2023 - about last year |
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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