Parker, Nicole E.
Parker, Nicole E. is an individual health care provider with primary practice located at 1040 Nw 22Nd Ave Ste 660 , Portland OR 97210-3083. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Parker, Nicole E. can be contacted via phone (503) 413-7162.Contact Information
Primary practice address
1040 Nw 22Nd Ave Ste 660
Portland OR 97210-3083
Phone: (503) 413-7162
Fax: (503) 413-7148
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA00794 | Oregon |
Profile Details
NPI number | 1669478210 |
---|---|
LBN Legal business name | Parker, Nicole E. |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 27th, 2005 |
Last updated | May 19th, 2016 - about 8 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 | 1669478210 | NPPES |
Oregon | MEDICAID | 227036 |
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