Healthcare Provider Details

I. General information

NPI: 1467845123
Provider Name (Legal Business Name): JULIA SOLHEIM AG-ACNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/05/2015
Last Update Date: 09/07/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 NE MOTHER JOSEPH PL
VANCOUVER WA
98664-3200
US

IV. Provider business mailing address

7930 SW 69TH AVE
PORTLAND OR
97223-9550
US

V. Phone/Fax

Practice location:
  • Phone: 917-327-7491
  • Fax:
Mailing address:
  • Phone: 917-327-7491
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAP60678134
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License Number648395-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: