Pace, Alyssa Rachael
Pace, Alyssa Rachael is an individual health care provider with primary practice located at 5050 Ne Hoyt St Ste B55 , Portland OR 97213-2957. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Pace, Alyssa Rachael can be contacted via phone (503) 233-5393.Contact Information
Primary practice address
5050 Ne Hoyt St Ste B55
Portland OR 97213-2957
Phone: (503) 233-5393
Fax: (503) 659-8984
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA00705 | Oregon |
Profile Details
| NPI number | 1275527483 |
|---|---|
| LBN Legal business name | Pace, Alyssa Rachael |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 1st, 2005 |
| Last updated | Dec 3rd, 2018 - about 7 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 | 1275527483 | NPPES |
| Oregon | MEDICAID | 085258 |
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