Tidwell, Monica Mary
Tidwell, Monica Mary is an individual health care provider with primary practice located at 4531 Se Belmont St Suite 100, Portland OR 97215-1675. She recently has only one registered license in Nursing Service Providers / Community Health, which is considered as her primary health care specialty. Tidwell, Monica Mary can be contacted via phone (503) 215-6556.Contact Information
Primary practice address
4531 Se Belmont St Suite 100
Portland OR 97215-1675
Phone: (503) 215-6556
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Community Health | 163WC1500X | 086000069RN | Oregon |
Profile Details
| NPI number | 1306199575 |
|---|---|
| LBN Legal business name | Tidwell, Monica Mary |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2012 |
| Last updated | Oct 24th, 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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