Hodge, Cassandra Evelyn

Hodge, Cassandra Evelyn is an sole proprietor health care provider with primary practice located at 9701 Sw Barnes Rd Ste 200 , Portland OR 97225-6689. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Hodge, Cassandra Evelyn can be contacted via phone (503) 734-3700.

Contact Information

Primary practice address
9701 Sw Barnes Rd Ste 200 Portland OR 97225-6689
Phone: (503) 734-3700
Fax: (503) 473-8462
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 201908457NP-PP Oregon
Nursing Service Providers / Registered Nurse 163W00000X 201708296RN Oregon

Profile Details

NPI number 1063983013
LBN Legal business name Hodge, Cassandra Evelyn
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 16th, 2018
Last updated Feb 17th, 2022 - about 4 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 1063983013 NPPES
Oregon MEDICAID 500770542

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