Quiles Soo, Nitza

Quiles Soo, Nitza is an individual health care provider with primary practice located at 9555 Sw Barnes Rd #270, Portland OR 97225. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Quiles Soo, Nitza can be contacted via phone (503) 297-1025.

Contact Information

Primary practice address
9555 Sw Barnes Rd #270 Portland OR 97225
Phone: (503) 297-1025
Fax: (503) 297-1043
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD 12560 Oregon

Profile Details

NPI number 1699814830
LBN Legal business name Quiles Soo, Nitza
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2007
Last updated Feb 27th, 2012 - about 14 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 1699814830 NPPES
Oregon Other E87104 PHP
Oregon Other 021993010 PHP
Oregon MEDICAID 135230 PHP
Oregon Other 931129829A009 PHP

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