Medina, Nicole Jennys
Medina, Nicole Jennys is an sole proprietor health care provider with primary practice located at 12450 Sw Fischer Rd Unit 225 , Tigard OR 97224-2378. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Medina, Nicole Jennys can be contacted via phone (503) 516-9172.Contact Information
Primary practice address
12450 Sw Fischer Rd Unit 225
Tigard OR 97224-2378
Phone: (503) 516-9172
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1770612533 |
|---|---|
| LBN Legal business name | Medina, Nicole Jennys |
| Credentials | NONE |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 5th, 2007 |
| Last updated | Jul 8th, 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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