Stewart, Jan

Stewart, Jan is an individual health care provider with primary practice located at 2411 9Th St , Tillamook OR 97141-4015. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is her primary health care specialty. Stewart, Jan can be contacted via phone (503) 842-1259.

Contact Information

Primary practice address
2411 9Th St Tillamook OR 97141-4015
Phone: (503) 842-1259
Fax: (503) 842-8538
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X 507204 Oregon
Other Service Providers / Community Health Worker 172V00000X 507204 Oregon

Profile Details

NPI number 1750700159
LBN Legal business name Stewart, Jan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2014
Last updated Apr 14th, 2014 - about 11 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 1750700159 NPPES
Oregon MEDICAID 507204

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