Jacobs, Tonia Ann
Jacobs, Tonia Ann is an individual health care provider with primary practice located at 4750 Sw Western Ave , Beaverton OR 97005-3431. She recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as her primary health care specialty. Jacobs, Tonia Ann can be contacted via phone (503) 626-4710.Contact Information
Primary practice address
4750 Sw Western Ave
Beaverton OR 97005-3431
Phone: (503) 626-4710
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacy Technician | 183700000X | CPT-0002261 | Oregon |
Profile Details
| NPI number | 1639442106 |
|---|---|
| LBN Legal business name | Jacobs, Tonia Ann |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2012 |
| Last updated | Feb 14th, 2012 - about 13 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 | 1639442106 | NPPES |
| Oregon | Other | CPT-0002261 | STATE TECHNICIAN LICENSE |
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