Voukidis, Janice Marie

Voukidis, Janice Marie is an individual health care provider with primary practice located at 1111 Ne 99Th Ave , Portland OR 97220-9428. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Voukidis, Janice Marie can be contacted via phone (503) 963-2707.

Contact Information

Primary practice address
1111 Ne 99Th Ave Portland OR 97220-9428
Fax: (503) 963-2802
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X AP30005447 Washington
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 077038509N3 ANP-PP Oregon

Profile Details

NPI number 1336132406
LBN Legal business name Voukidis, Janice Marie
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Sep 13th, 2013 - about 11 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 1336132406 NPPES
Oregon MEDICAID 292869
Oregon MEDICAID 9630211

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