Maciolek, Izabela
Maciolek, Izabela is an individual health care provider with primary practice located at 9701 Sw Barnes Rd Ste 300, Portland OR 97225-6689. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Maciolek, Izabela can be contacted via phone (503) 297-8081.Contact Information
Primary practice address
9701 Sw Barnes Rd Ste 300
Portland OR 97225-6689
Phone: (503) 297-8081
Fax: (503) 292-6601
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA00754 | Oregon |
Profile Details
| NPI number | 1699771238 |
|---|---|
| LBN Legal business name | Maciolek, Izabela |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2005 |
| Last updated | Dec 5th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699771238 | NPPES |
| Oregon | MEDICAID | 500602671 | |
| Oregon | MEDICAID | 8502593 |
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