Ward, Jeanine K

Ward, Jeanine K is an individual health care provider with primary practice located at 2330 Nw Flanders St Ste G-1, Portland OR 97210-3442. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, which is considered as her primary health care specialty. Ward, Jeanine K can be contacted via phone (503) 224-9270.

Contact Information

Primary practice address
2330 Nw Flanders St Ste G-1 Portland OR 97210-3442
Phone: (503) 224-9270
Fax: (503) 224-9271
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X AA395954 Oregon
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X OT00000303 Washington

Profile Details

NPI number 1811972912
LBN Legal business name Ward, Jeanine K
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2005
Last updated Jul 9th, 2007 - about 18 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 1811972912 NPPES
Washington MEDICAID 8419970
Washington MEDICAID 227464
Washington Other 173185

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