Fuqua, Krista
Fuqua, Krista is an sole proprietor health care provider with primary practice located at 2072 Ne Burnside Rd , Gresham OR 97030-7950. 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. Fuqua, Krista can be contacted via phone (971) 436-2560.Contact Information
Primary practice address
2072 Ne Burnside Rd
Gresham OR 97030-7950
Phone: (971) 436-2560
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 201606762NP-PP | Oregon |
Profile Details
| NPI number | 1013347582 |
|---|---|
| LBN Legal business name | Fuqua, Krista |
| Credentials | PMHNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 20th, 2013 |
| Last updated | Sep 30th, 2026 - about last week |
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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