Abdallah, Marissa Autumn
Abdallah, Marissa Autumn is an sole proprietor health care provider with primary practice located at 11035 Ne Sandy Blvd , Portland OR 97220-2553. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Abdallah, Marissa Autumn can be contacted via phone (503) 258-4690.Contact Information
Primary practice address
11035 Ne Sandy Blvd
Portland OR 97220-2553
Phone: (503) 258-4690
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | Oregon |
Profile Details
| NPI number | 1679047575 |
|---|---|
| LBN Legal business name | Abdallah, Marissa Autumn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 15th, 2019 |
| Last updated | Jan 15th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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