Provider Demographics
NPI:1780010785
Name:LOVEWELL, SONIA ACOSTA (REGISTERED NURSE)
Entity Type:Individual
Prefix:MS
First Name:SONIA
Middle Name:ACOSTA
Last Name:LOVEWELL
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12045 SE PARDEE ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97266-3220
Mailing Address - Country:US
Mailing Address - Phone:503-724-7695
Mailing Address - Fax:503-926-9298
Practice Address - Street 1:12045 SE PARDEE ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97266-3220
Practice Address - Country:US
Practice Address - Phone:503-724-7695
Practice Address - Fax:503-926-9298
Is Sole Proprietor?:No
Enumeration Date:2013-09-23
Last Update Date:2013-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR200140260RN163WH0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0500XNursing Service ProvidersRegistered NurseHemodialysis