Portalski, Nicholas
Portalski, Nicholas is an individual health care provider with primary practice located at 1007 39Th Ave Se , Puyallup WA 98374-2192. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Portalski, Nicholas can be contacted via phone (534) 457-1002.Contact Information
Primary practice address
1007 39Th Ave Se
Puyallup WA 98374-2192
Phone: (534) 457-1002
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA-1472 | Idaho |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA60892458 | Washington |
Profile Details
| NPI number | 1922546027 |
|---|---|
| LBN Legal business name | Portalski, Nicholas |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2017 |
| Last updated | May 4th, 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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