Burckhardt, Carol Ann

Burckhardt, Carol Ann is an individual health care provider with primary practice located at 727 W Burnside , Portland OR 97209. 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. Burckhardt, Carol Ann can be contacted via phone (503) 228-4533.

Contact Information

Primary practice address
727 W Burnside Portland OR 97209
Phone: (503) 228-4533
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 083040504N6 Oregon

Profile Details

NPI number 1124076013
LBN Legal business name Burckhardt, Carol Ann
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Jul 8th, 2007 - about 19 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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