Etukudo, Grace Johnson

Etukudo, Grace Johnson is an individual health care provider with primary practice located at 10180 Se Sunnyside Rd , Clackamas OR 97015-8970. She recently has only one registered license in Nursing Service Related Providers / Nurse's Aide, which is considered as her primary health care specialty. Etukudo, Grace Johnson can be contacted via phone (503) 571-9062.

Contact Information

Primary practice address
10180 Se Sunnyside Rd Clackamas OR 97015-8970
Phone: (503) 571-9062
Fax: (503) 571-9036
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nurse's Aide 376K00000X 200612655CNA Oregon

Profile Details

NPI number 1326281346
LBN Legal business name Etukudo, Grace Johnson
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2009
Last updated Apr 7th, 2009 - about 17 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