Nielsen, Jo Anne
Nielsen, Jo Anne is an individual health care provider with primary practice located at 14279 Glen Oak Rd , Oregon City OR 97045-8008. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Nielsen, Jo Anne can be contacted via phone (503) 657-7629.Contact Information
Primary practice address
14279 Glen Oak Rd
Oregon City OR 97045-8008
Phone: (503) 657-7629
Fax: (503) 557-8651
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD14362 | Oregon |
Profile Details
NPI number | 1528006921 |
---|---|
LBN Legal business name | Nielsen, Jo Anne |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 4th, 2006 |
Last updated | Dec 11th, 2012 - about 12 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 | 1528006921 | NPPES |
Oregon | Other | 3323000 | BCBS |
Oregon | MEDICAID | 128553 | BCBS |
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