Bolton, Vicki K

Bolton, Vicki K is an individual health care provider with primary practice located at 4400 Ne Halsey St Bldg 23 , Portland OR 97213-1545. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Community Health, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Bolton, Vicki K can be contacted via phone (888) 227-3312.

Contact Information

Primary practice address
4400 Ne Halsey St Bldg 23 Portland OR 97213-1545
Phone: (888) 227-3312
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Community Health 363LC1500X AP30005828 Washington
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X AP30005828 Washington
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 202102582NP-PP Oregon

Profile Details

NPI number 1811928187
LBN Legal business name Bolton, Vicki K
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Mar 2nd, 2022 - about 4 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 1811928187 NPPES
Washington MEDICAID 9630351

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