Mesa, Genesis
Mesa, Genesis is an sole proprietor health care provider with primary practice located at 4531 Se Belmont St Ste 100 , Portland OR 97215-1675. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Mesa, Genesis can be contacted via phone (503) 335-9980.Contact Information
Primary practice address
4531 Se Belmont St Ste 100
Portland OR 97215-1675
Phone: (503) 335-9980
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Practical Nurse | 164W00000X | 200630448LPN | Oregon |
Profile Details
| NPI number | 1528489903 |
|---|---|
| LBN Legal business name | Mesa, Genesis |
| Credentials | Licensed Practical Nurse (LPN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 2nd, 2014 |
| Last updated | Jan 2nd, 2014 - about 12 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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