Agisim, Miriam
Agisim, Miriam is an individual health care provider with primary practice located at 8935 Se Powell Blvd , Portland OR 97266-1938. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Agisim, Miriam can be contacted via phone (503) 772-4335.Contact Information
Primary practice address
8935 Se Powell Blvd
Portland OR 97266-1938
Phone: (503) 772-4335
Fax: (503) 772-4337
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD179807 | Oregon |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MT204726 | Pennsylvania |
Profile Details
| NPI number | 1538506266 |
|---|---|
| LBN Legal business name | Agisim, Miriam |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 4th, 2013 |
| Last updated | Oct 5th, 2016 - about 9 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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