Alcala Moss, Adriane Amana

Alcala Moss, Adriane Amana is an sole proprietor health care provider with primary practice located at 4585 Sw 185Th Ave , Aloha OR 97007. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Alcala Moss, Adriane Amana can be contacted via phone (503) 591-9280.

Contact Information

Primary practice address
4585 Sw 185Th Ave Aloha OR 97007
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 200450121NP Oregon

Profile Details

NPI number 1497770648
LBN Legal business name Alcala Moss, Adriane Amana
Credentials PMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2006
Last updated May 5th, 2024 - about 2 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 1497770648 NPPES
Oregon Other 200450121NP OREGON STATE BOARD OF NURSING
Oregon MEDICAID 277800 OREGON STATE BOARD OF NURSING

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