Domreis, John Stephen
Domreis, John Stephen is an individual health care provider with primary practice located at 1510 Division St Ste 210 , Oregon City OR 97045-1599. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Domreis, John Stephen can be contacted via phone (503) 723-6525.Contact Information
Primary practice address
1510 Division St Ste 210
Oregon City OR 97045-1599
Phone: (503) 723-6525
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD24678 | Oregon |
Profile Details
| NPI number | 1629168646 |
|---|---|
| LBN Legal business name | Domreis, John Stephen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2006 |
| Last updated | Apr 26th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629168646 | NPPES |
| Oregon | MEDICAID | 227359 | |
| Oregon | Other | 858363001 |
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