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
Phone: (503) 350-4442
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1407827694 | NPPES |
Oregon | MEDICAID | 072665 | |
Oregon | Other | 930069802 |
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