Janowski, Jake Michael

Janowski, Jake Michael is an sole proprietor health care provider with primary practice located at 14600 Nw Cornell Rd , Portland OR 97229-5442. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as his primary health care specialty. Janowski, Jake Michael can be contacted via phone (503) 645-3581.

Contact Information

Primary practice address
14600 Nw Cornell Rd Portland OR 97229-5442
Phone: (503) 645-3581
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X

Profile Details

NPI number 1538693445
LBN Legal business name Janowski, Jake Michael
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 18th, 2017
Last updated Apr 18th, 2017 - about 8 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 1538693445 NPPES
Oregon MEDICAID VC601D4K

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