Dr. Sharon A Kubik
Nurse Practitioner Nurse Practitioner - Acute Care
3303 Sw Bond Ave
Portland
, Oregon 97239-4501
Dr. Sharon A Kubik
Nurse Practitioner Nurse Practitioner - Acute Care
3303 Sw Bond Ave
Portland
, Oregon 97239-4501
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About
Features
Specialties
- Nurse Practitioner
- Nurse Practitioner - Acute Care
Languages spoken
- English
Location
First Address
- Dr. Sharon A Kubik
- 3303 Sw Bond Ave
- Portland, OR
- Zip : 97239-4501
- Phone :
Second Address
- Dr. Sharon A Kubik
- 3303 Sw Bond Ave
- Portland, OR
- Zip : 97239-4501
- Fax : (503) 494-4455
- Phone : (503) 494-8417
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 169329 | MA |
| Y | 363LA2100X | Nurse Practitioner - Acute Care | 201503338NP-PP | OR |
National Provider Identifier
| NPI | 1033138946 |
|---|---|
| Provider Name | Dr. Sharon A Kubik |
| First Address | Portland, OR 97239-4501 |
| Second Address | Portland, OR 97239-4501 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/07/2006 |
| Last Update Date | 08/01/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0705781 | (05) | MA |
| Q54005 | (02) | MA |
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.