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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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