Jackson, Shawntae

Jackson, Shawntae is an individual health care provider with primary practice located at 2270 Nw Overton St , Portland OR 97210-2927. She recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as her primary health care specialty. Jackson, Shawntae can be contacted via phone (503) 241-6051.

Contact Information

Primary practice address
2270 Nw Overton St Portland OR 97210-2927
Phone: (503) 241-6051
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X

Profile Details

NPI number 1558071399
LBN Legal business name Jackson, Shawntae
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2022
Last updated Dec 2nd, 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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