Israelit, Sallie E

Israelit, Sallie E is an individual health care provider with primary practice located at 1547 Ne 40Th Ave Ste B , Portland OR 97232-1862. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Israelit, Sallie E can be contacted via phone (503) 284-1937.

Contact Information

Primary practice address
1547 Ne 40Th Ave Ste B Portland OR 97232-1862
Fax: (503) 284-3908
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MD60243670 Washington
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MD25680 Oregon

Profile Details

NPI number 1467439547
LBN Legal business name Israelit, Sallie E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated Dec 9th, 2019 - about 6 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 1467439547 NPPES
Oregon MEDICAID 213425
Oregon MEDICAID 2079318

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