Rathfelder, Jean

Rathfelder, Jean is an individual health care provider with primary practice located at 3802 Sw Caldew St , Portland OR 97219-1527. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Rathfelder, Jean can be contacted via phone (503) 892-2784.

Contact Information

Primary practice address
3802 Sw Caldew St Portland OR 97219-1527
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1033565700
LBN Legal business name Rathfelder, Jean
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2016
Last updated May 11th, 2016 - about 10 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 1033565700 NPPES
Oregon MEDICAID 744775

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