Ibsies, Jwana B

Ibsies, Jwana B is an sole proprietor health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd , Portland OR 97239-3011. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Perfusionist, which is considered as her primary health care specialty. Ibsies, Jwana B can be contacted via phone (503) 505-2373.

Contact Information

Primary practice address
3181 Sw Sam Jackson Park Rd Portland OR 97239-3011
Phone: (503) 505-2373
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Perfusionist 242T00000X 089004 Oregon

Profile Details

NPI number 1417574807
LBN Legal business name Ibsies, Jwana B
Credentials Certified Clinical Perfusionist (CCP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 1st, 2020
Last updated Jul 1st, 2020 - about 6 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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