Bliss, Jillian Darcy
Bliss, Jillian Darcy is an individual health care provider with primary practice located at 5211 Ne Glisan St Bldg C , Portland OR 97213. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Bliss, Jillian Darcy can be contacted via phone (503) 215-6628.Contact Information
Primary practice address
5211 Ne Glisan St Bldg C
Portland OR 97213
Phone: (503) 215-6628
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | LD-D-000877 | Oregon |
Profile Details
| NPI number | 1922481654 |
|---|---|
| LBN Legal business name | Bliss, Jillian Darcy |
| Credentials | RD, LD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2015 |
| Last updated | Aug 19th, 2018 - about 8 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 | 1922481654 | NPPES |
| Oregon | MEDICAID | 500734039 |
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