Picologlou, Elizabeth Ann

Picologlou, Elizabeth Ann is an individual health care provider with primary practice located at 9205 Sw Barnes Rd , Portland OR 97225-6603. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Picologlou, Elizabeth Ann can be contacted via phone (503) 216-2906.

Contact Information

Primary practice address
9205 Sw Barnes Rd Portland OR 97225-6603
Phone: (503) 216-2906
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD25734 Oregon
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD25734 Oregon

Profile Details

NPI number 1609936327
LBN Legal business name Picologlou, Elizabeth Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2006
Last updated Mar 24th, 2021 - about 5 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 1609936327 NPPES
Oregon Other P01574764 RR MEDICARE (PH&S)-PMG
Oregon MEDICAID 278107 RR MEDICARE (PH&S)-PMG

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