Blackwell, Danielle Leyla
Blackwell, Danielle Leyla is an sole proprietor health care provider with primary practice located at 19723 S Hwy 213 , Oregon City OR 97045-4190. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Blackwell, Danielle Leyla can be contacted via phone (503) 656-9030.Contact Information
Primary practice address
19723 S Hwy 213
Oregon City OR 97045-4190
Phone: (503) 656-9030
Fax: (503) 656-9026
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 200150108NPFNPPP | Oregon |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 200150108NP | Oregon |
Profile Details
| NPI number | 1366400293 |
|---|---|
| LBN Legal business name | Blackwell, Danielle Leyla |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 2nd, 2006 |
| Last updated | Jun 5th, 2015 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366400293 | NPPES |
| Oregon | MEDICAID | 262804 |
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