Dilla, Jacob

Dilla, Jacob is an sole proprietor health care provider with primary practice located at 847 Ne 19Th Ave Suite 100, Portland OR 97232-2684. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Dilla, Jacob can be contacted via phone (503) 238-0769.

Contact Information

Primary practice address
847 Ne 19Th Ave Suite 100 Portland OR 97232-2684
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1407390230
LBN Legal business name Dilla, Jacob
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2016
Last updated Dec 13th, 2016 - about 10 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.

Request for update

Popular Providers