Schoeppner, Kelly

Schoeppner, Kelly is an individual health care provider with primary practice located at 420 Ne Mason St , Portland OR 97211-3479. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Hospice, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Schoeppner, Kelly can be contacted via phone (503) 546-9292.

Contact Information

Primary practice address
420 Ne Mason St Portland OR 97211-3479
Phone: (503) 546-9292
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Hospice 163WH1000X RN00128492 Washington
Nursing Service Providers / Hospice 163WH1000X AP30004389 Washington
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP30004389 Washington
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 201392002NP-PP Oregon

Profile Details

NPI number 1619993433
LBN Legal business name Schoeppner, Kelly
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Sep 18th, 2020 - about 6 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 1619993433 NPPES
Washington Other 0209727 STATE L&I
Washington Other 0209727 STATE L&I
Washington Other 8941623 STATE L&I
Washington MEDICAID 9626268 STATE L&I

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