Henry, Michael

Henry, Michael is an individual health care provider with primary practice located at 9605 Grand Ronde Rd , Grand Ronde OR 97347-9712. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Henry, Michael can be contacted via phone (503) 879-2060.

Contact Information

Primary practice address
9605 Grand Ronde Rd Grand Ronde OR 97347-9712
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X THW000109397 Oregon

Profile Details

NPI number 1154104800
LBN Legal business name Henry, Michael
Credentials PWS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2023
Last updated Aug 16th, 2023 - 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.

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