Oltman, Jessica L

Oltman, Jessica L is an individual health care provider with primary practice located at 600 Nw 11Th St Suite E-15, Hermiston OR 97838-8605. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Oltman, Jessica L can be contacted via phone (541) 567-6434.

Contact Information

Primary practice address
600 Nw 11Th St Suite E-15 Hermiston OR 97838-8605
Phone: (541) 567-6434
Fax: (541) 429-6613
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 204271 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0990427-NP Colorado
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 201401076NP-PP Oregon

Profile Details

NPI number 1508113408
LBN Legal business name Oltman, Jessica L
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2012
Last updated Jun 27th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1508113408 NPPES
Colorado MEDICAID 19588828

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