Lines, Jason John
Lines, Jason John is an individual health care provider with primary practice located at 9155 Sw Barnes Rd Suite 240, Portland OR 97225-6625. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Lines, Jason John can be contacted via phone (503) 296-4027.Contact Information
Primary practice address
9155 Sw Barnes Rd Suite 240
Portland OR 97225-6625
Phone: (503) 296-4027
Fax: (503) 216-2488
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA00793 | Oregon |
Profile Details
NPI number | 1679548416 |
---|---|
LBN Legal business name | Lines, Jason John |
Credentials | PAC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 22nd, 2006 |
Last updated | Oct 24th, 2007 - about 18 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 | 1679548416 | NPPES |
Washington | MEDICAID | 8394264 |
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