Esquivel, Ileana Maria

Esquivel, Ileana Maria is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd L353, Portland OR 97239-3011. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Esquivel, Ileana Maria can be contacted via phone (503) 494-7820.

Contact Information

Primary practice address
3181 Sw Sam Jackson Park Rd L353 Portland OR 97239-3011
Phone: (503) 494-7820
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA00932 Oregon

Profile Details

NPI number 1861407363
LBN Legal business name Esquivel, Ileana Maria
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Oct 6th, 2020 - about 5 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 1861407363 NPPES
Washington MEDICAID 1034980
Washington MEDICAID 500604923

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