Kubik, Sharon A

Kubik, Sharon A is an individual health care provider with primary practice located at 3303 Sw Bond Ave , Portland OR 97239-4501. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Kubik, Sharon A can be contacted via phone (503) 494-8417.

Contact Information

Primary practice address
3303 Sw Bond Ave Portland OR 97239-4501
Phone: (503) 494-8417
Fax: (503) 494-4455
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 169329 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 201503338NP-PP Oregon

Profile Details

NPI number 1033138946
LBN Legal business name Kubik, Sharon A
Credentials DNP, ACNP-BC, CCRN
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Jan 8th, 2019 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033138946 NPPES
Massachusetts MEDICAID 0705781

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