Kolbeck, Sasha Laurel
Kolbeck, Sasha Laurel is an individual health care provider with primary practice located at 1515 Nw 18Th Ave Ste 400, Portland OR 97209-2516. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Kolbeck, Sasha Laurel can be contacted via phone (541) 297-2497.Contact Information
Primary practice address
1515 Nw 18Th Ave Ste 400
Portland OR 97209-2516
Phone: (541) 297-2497
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 3702 | Oregon |
Profile Details
| NPI number | 1972575728 |
|---|---|
| LBN Legal business name | Kolbeck, Sasha Laurel |
| Credentials | Master of Physical Therapy (MPT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2006 |
| Last updated | Apr 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972575728 | NPPES |
| Oregon | Other | 930635514 | GROUP TAX NUMBER |
| Oregon | Other | R0000WFBTV | GROUP TAX NUMBER |
| Oregon | MEDICAID | 299303 | GROUP TAX NUMBER |
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