Provider Demographics
NPI:1407602006
Name:HOSAKA-HARTJE, JOYCE (RN)
Entity type:Individual
Prefix:
First Name:JOYCE
Middle Name:
Last Name:HOSAKA-HARTJE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10869 SE ALEXANDER DR
Mailing Address - Street 2:
Mailing Address - City:HAPPY VALLEY
Mailing Address - State:OR
Mailing Address - Zip Code:97086-7169
Mailing Address - Country:US
Mailing Address - Phone:971-429-2819
Mailing Address - Fax:
Practice Address - Street 1:11611 NE AINSWORTH CIR
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97220-9017
Practice Address - Country:US
Practice Address - Phone:971-429-2819
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-25
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR088000599163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WS0200XNursing Service ProvidersRegistered NurseSchoolGroup - Single Specialty