Doster, Michael R

Doster, Michael R is an individual health care provider with primary practice located at 2542 Ne Courtney Dr , Bend OR 97701-7685. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Doster, Michael R can be contacted via phone (541) 706-2768.

Contact Information

Primary practice address
2542 Ne Courtney Dr Bend OR 97701-7685
Fax: (541) 706-4760
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0961 Oregon

Profile Details

NPI number 1114192689
LBN Legal business name Doster, Michael R
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2008
Last updated Jun 7th, 2013 - about 11 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 1114192689 NPPES
Oregon MEDICAID 500629968

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