Cvitash, Michael T.

Cvitash, Michael T. is an individual health care provider with primary practice located at 1508 Division St Ste 105 , Oregon City OR 97045-1584. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Cvitash, Michael T. can be contacted via phone (503) 656-0836.

Contact Information

Primary practice address
1508 Division St Ste 105 Oregon City OR 97045-1584
Phone: (503) 656-0836
Fax: (503) 656-9464
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA159365 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA159365 Oregon

Profile Details

NPI number 1336117035
LBN Legal business name Cvitash, Michael T.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Aug 28th, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1336117035 NPPES
Other 11832611 CAQH
MEDICAID 100508235 CAQH
Other P00378675 CAQH

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