Galiano, Kendra Sue
Galiano, Kendra Sue is an individual health care provider with primary practice located at 1321 Ne 99Th Ave Ste 100 , Portland OR 97220-9437. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Galiano, Kendra Sue can be contacted via phone (503) 215-9900.Contact Information
Primary practice address
1321 Ne 99Th Ave Ste 100
Portland OR 97220-9437
Phone: (503) 215-9900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 611 | Alaska |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA167150 | Oregon |
Profile Details
| NPI number | 1477586733 |
|---|---|
| LBN Legal business name | Galiano, Kendra Sue |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 9th, 2006 |
| Last updated | Apr 26th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477586733 | NPPES |
| Alaska | MEDICAID | 1572634 |
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