Holmes, Shelda
Holmes, Shelda is an sole proprietor health care provider with primary practice located at 5311 N Vancouver Ave , Portland OR 97217-2731. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Holmes, Shelda can be contacted via phone (503) 281-0308.Contact Information
Primary practice address
5311 N Vancouver Ave
Portland OR 97217-2731
Phone: (503) 281-0308
Fax: (503) 281-4691
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 200450058NP | Oregon |
Profile Details
| NPI number | 1316937949 |
|---|---|
| LBN Legal business name | Holmes, Shelda |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 25th, 2005 |
| Last updated | Aug 9th, 2011 - about 15 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 | 1316937949 | NPPES |
| Oregon | MEDICAID | 241378 | |
| Oregon | MEDICAID | 027742 |
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