Windom, Kristine Jost

Windom, Kristine Jost is an individual health care provider with primary practice located at 9155 Sw Barnes Rd Suite 440, Portland OR 97225-6625. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Windom, Kristine Jost can be contacted via phone (503) 297-3766.

Contact Information

Primary practice address
9155 Sw Barnes Rd Suite 440 Portland OR 97225-6625
Phone: (503) 297-3766
Fax: (503) 297-8148
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA00978 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA10004840 Washington

Profile Details

NPI number 1841282357
LBN Legal business name Windom, Kristine Jost
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
Last updated Sep 13th, 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 1841282357 NPPES
Oregon MEDICAID 500602008

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