Elsasser, Michael Vernon

Elsasser, Michael Vernon is an individual health care provider with primary practice located at 58646 Mcnulty Way , Saint Helens OR 97051-6210. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Elsasser, Michael Vernon can be contacted via phone (503) 397-5211.

Contact Information

Primary practice address
58646 Mcnulty Way Saint Helens OR 97051-6210
Phone: (503) 397-5211
Fax: (503) 397-5373
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X Oregon

Profile Details

NPI number 1245420868
LBN Legal business name Elsasser, Michael Vernon
Credentials B.S., CADC II
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2007
Last updated Apr 4th, 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 1245420868 NPPES
Oregon MEDICAID 195164

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