Lutz, Jacob

Lutz, Jacob is an individual health care provider with primary practice located at 9125 Sw 55Th Ave , Portland OR 97219-5018. He recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as his primary health care specialty. Lutz, Jacob can be contacted via phone (503) 477-4622.

Contact Information

Primary practice address
9125 Sw 55Th Ave Portland OR 97219-5018
Phone: (503) 477-4622
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X

Profile Details

NPI number 1669160602
LBN Legal business name Lutz, Jacob
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2023
Last updated Apr 27th, 2023 - about 3 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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