Augustina, June

Augustina, June is an individual health care provider with primary practice located at 412 Sw 12Th Ave , Portland OR 97205-2329. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Nursing Service Providers / Psychiatric/Mental Health, Adult. Nursing Service Providers / Psychiatric/Mental Health, Adult is her primary health care specialty. Augustina, June can be contacted via phone (503) 552-5174.

Contact Information

Primary practice address
412 Sw 12Th Ave Portland OR 97205-2329
Phone: (503) 552-5174
Fax: (503) 552-5197
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X 084054887RN Oregon
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X 084054887RN Oregon

Profile Details

NPI number 1083723712
LBN Legal business name Augustina, June
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Jun 20th, 2008 - 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 1083723712 NPPES
Oregon Other 084054887RN REGISTERED NURSE LICENSE

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