Kochan, Tami R
Kochan, Tami R is an individual health care provider with primary practice located at 445 E Main St , Hillsboro OR 97123-4084. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Kochan, Tami R can be contacted via phone (503) 640-2757.Contact Information
Primary practice address
445 E Main St
Hillsboro OR 97123-4084
Phone: (503) 640-2757
Fax: (503) 640-9753
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 200650042NP | Oregon |
Profile Details
| NPI number | 1982788576 |
|---|---|
| LBN Legal business name | Kochan, Tami R |
| Credentials | Certified Pediatric Nurse Practitioner (CPNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2006 |
| Last updated | Sep 2nd, 2016 - about 10 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 | 1982788576 | NPPES |
| Oregon | MEDICAID | 278631 | |
| Oregon | Other | R188170 |
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