Lindwall, Jody M

Lindwall, Jody M is an individual health care provider with primary practice located at 9555 Sw Barnes Rd Suite 100, Portland OR 97225-6663. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Lindwall, Jody M can be contacted via phone (503) 292-3577.

Contact Information

Primary practice address
9555 Sw Barnes Rd Suite 100 Portland OR 97225-6663
Phone: (503) 292-3577
Fax: (503) 292-3947
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 200650100NP Oregon

Profile Details

NPI number 1770556722
LBN Legal business name Lindwall, Jody M
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Jun 21st, 2016 - about 8 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 1770556722 NPPES
Oregon Other R146791 MEDICARE PTAN
Oregon MEDICAID 247491 MEDICARE PTAN

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