Dussel, John Noel

Dussel, John Noel is an individual health care provider with primary practice located at 9427 Sw Barnes Rd Ste 495 , Portland OR 97225-6612. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Dussel, John Noel can be contacted via phone (503) 216-0990.

Contact Information

Primary practice address
9427 Sw Barnes Rd Ste 495 Portland OR 97225-6612
Fax: (503) 962-1021
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X MD188768 Oregon

Profile Details

NPI number 1902192396
LBN Legal business name Dussel, John Noel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2011
Last updated Jun 21st, 2024 - about 3 months 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 1902192396 NPPES
Oregon MEDICAID 222469

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