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:
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Health care specialties

SpecialtyCodeLicense #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 13 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 1528006921 NPPES
Oregon Other 3323000 BCBS
Oregon MEDICAID 128553 BCBS

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