Craft, Jackie Sue
Craft, Jackie Sue is an individual health care provider with primary practice located at 4531 Se Belmont St , Portland OR 97215-1675. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Craft, Jackie Sue can be contacted via phone (503) 215-6556.Contact Information
Primary practice address
4531 Se Belmont St
Portland OR 97215-1675
Phone: (503) 215-6556
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Practical Nurse | 164W00000X | 200030009LPN | Oregon |
Profile Details
| NPI number | 1720338965 |
|---|---|
| LBN Legal business name | Craft, Jackie Sue |
| Credentials | Licensed Practical Nurse (LPN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2012 |
| Last updated | Sep 14th, 2012 - about 14 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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