Lines, Jason John

Lines, Jason John is an individual health care provider with primary practice located at 9155 Sw Barnes Rd Suite 240, Portland OR 97225-6625. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Lines, Jason John can be contacted via phone (503) 296-4027.

Contact Information

Primary practice address
9155 Sw Barnes Rd Suite 240 Portland OR 97225-6625
Phone: (503) 296-4027
Fax: (503) 216-2488
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA00793 Oregon

Profile Details

NPI number 1679548416
LBN Legal business name Lines, Jason John
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Oct 24th, 2007 - about 19 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 1679548416 NPPES
Washington MEDICAID 8394264

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