Mahoney, Jamie

Mahoney, Jamie is an individual health care provider with primary practice located at 2875 Ne Stucki Ave , Hillsboro OR 97124. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Mahoney, Jamie can be contacted via phone (971) 413-8027.

Contact Information

Primary practice address
2875 Ne Stucki Ave Hillsboro OR 97124
Phone: (971) 413-8027
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 150728 Oregon

Profile Details

NPI number 1730391665
LBN Legal business name Mahoney, Jamie
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2007
Last updated Jul 9th, 2018 - 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 1730391665 NPPES
Oregon MEDICAID 1730391665

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