Liddicoat, Julie

Liddicoat, Julie is an individual health care provider with primary practice located at 426 Sw Stark St 3Rd Floor, Portland OR 97204-2347. She recently has only one registered license in Nursing Service Providers / Community Health, which is considered as her primary health care specialty. Liddicoat, Julie can be contacted via phone (503) 988-3417.

Contact Information

Primary practice address
426 Sw Stark St 3Rd Floor Portland OR 97204-2347
Fax: (503) 988-3419
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Community Health 163WC1500X 081001795RN Oregon

Profile Details

NPI number 1003105602
LBN Legal business name Liddicoat, Julie
Credentials Certified Hemodialysis Nurse (CHN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2011
Last updated Apr 4th, 2011 - about 14 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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