Provider Demographics
NPI:1629404041
Name:SJOBERG, JOYCE MARIE (RN)
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:MARIE
Last Name:SJOBERG
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:NONE
Other - Middle Name:
Other - Last Name:JS RN CONSULTING, LLC
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA, RN
Mailing Address - Street 1:PO BOX 1264
Mailing Address - Street 2:19190 SW 90TH AVE.
Mailing Address - City:TUALATIN
Mailing Address - State:OR
Mailing Address - Zip Code:97062-1264
Mailing Address - Country:US
Mailing Address - Phone:503-780-1482
Mailing Address - Fax:503-235-4616
Practice Address - Street 1:535 SW COLONY DR
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97219-7763
Practice Address - Country:US
Practice Address - Phone:503-780-1482
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-17
Last Update Date:2013-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00081843163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse