Marie, Jacqueline
Marie, Jacqueline is an sole proprietor health care provider with primary practice located at 5408 Se 111Th Ave , Portland OR 97266-4148. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as her primary health care specialty. Marie, Jacqueline can be contacted via phone (503) 803-8352.Contact Information
Primary practice address
5408 Se 111Th Ave
Portland OR 97266-4148
Phone: (503) 803-8352
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Technician, Other | 247200000X | 3453 | Oregon |
Profile Details
| NPI number | 1629311865 |
|---|---|
| LBN Legal business name | Marie, Jacqueline |
| Credentials | LMT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 5th, 2013 |
| Last updated | Apr 5th, 2013 - about 11 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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