Johansen, Justine
Johansen, Justine is an sole proprietor health care provider with primary practice located at 4805 Ne Glisan St , Portland OR 97213-2933. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Nursing Service Providers / Registered Nurse. Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Johansen, Justine can be contacted via phone (503) 215-1111.Contact Information
Primary practice address
4805 Ne Glisan St
Portland OR 97213-2933
Phone: (503) 215-1111
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | RN60092547 | Washington |
Nursing Service Providers / Registered Nurse | 163W00000X | RN60092547 | Washington |
Nursing Service Providers / Registered Nurse | 163W00000X | 200743173RN | Oregon |
Profile Details
NPI number | 1164700464 |
---|---|
LBN Legal business name | Johansen, Justine |
Credentials | Registered Nurse (RN) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 3rd, 2011 |
Last updated | Aug 3rd, 2011 - about 11 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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