Handy, John R

Handy, John R is an individual health care provider with primary practice located at 4805 Ne Glisan St Ste 6N50, Portland OR 97213-2933. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Handy, John R can be contacted via phone (503) 215-2300.

Contact Information

Primary practice address
4805 Ne Glisan St Ste 6N50 Portland OR 97213-2933
Phone: (503) 215-2300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X MD00042773 Washington
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X MD20507 Oregon

Profile Details

NPI number 1932191467
LBN Legal business name Handy, John R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
Last updated Nov 29th, 2021 - about 3 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 1932191467 NPPES
Oregon MEDICAID 150173

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