Dr. Andrea W. Soule
Neuromusculoskeletal Medicine (NMM)
4060 Sw 110th Ave
Beaverton
, Oregon 97005-3017
Dr. Andrea W. Soule
Neuromusculoskeletal Medicine (NMM)
4060 Sw 110th Ave
Beaverton
, Oregon 97005-3017
(503) 350-0301
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About
Features
Specialties
- Neuromusculoskeletal Medicine (NMM)
Languages spoken
- English
Location
First Address
- Dr. Andrea W. Soule
- Po Box 1843
- Beaverton, OR
- Zip : 97075-1843
- Fax : (503) 350-0301
- Phone : (503) 349-1884
Second Address
- Dr. Andrea W. Soule
- 4060 Sw 110th Ave
- Beaverton, OR
- Zip : 97005-3017
- Fax : (503) 350-0301
- Phone : (503) 349-1884
Reviews
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Is Dr. Andrea W. Soule a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | DO28362 | OR |
National Provider Identifier
| NPI | 1255482287 |
|---|---|
| Provider Name | Dr. Andrea W. Soule |
| First Address | Beaverton, OR 97075-1843 |
| Second Address | Beaverton, OR 97005-3017 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/01/2007 |
| Last Update Date | 04/04/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 71-0968273 | TAX ID (01) | OR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.