Winter, Alan Jay

Winter, Alan Jay is an individual health care provider with primary practice located at 1776 Sw Madison St , Portland OR 97205-1715. He recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as his primary health care specialty. Winter, Alan Jay can be contacted via phone (503) 231-2641.

Contact Information

Primary practice address
1776 Sw Madison St Portland OR 97205-1715
Fax: (503) 231-1654
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X Oregon

Profile Details

NPI number 1821055468
LBN Legal business name Winter, Alan Jay
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Jul 8th, 2007 - about 17 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 1821055468 NPPES
Oregon MEDICAID 126370

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