Soyke, Jennifer Mae

Soyke, Jennifer Mae is an individual health care provider with primary practice located at 4855 Sw Western Ave University Of Oregon, Beaverton OR 97005-3460. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Soyke, Jennifer Mae can be contacted via phone (503) 350-4442.

Contact Information

Primary practice address
4855 Sw Western Ave University Of Oregon Beaverton OR 97005-3460
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD19236 Oregon

Profile Details

NPI number 1407827694
LBN Legal business name Soyke, Jennifer Mae
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Aug 20th, 2015 - about 9 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 1407827694 NPPES
Oregon MEDICAID 072665
Oregon Other 930069802

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