Mack, Bethe Ann
Mack, Bethe Ann is an sole proprietor health care provider with primary practice located at 2625 Se Hawthorne Blvd , Portland OR 97214-2941. She recently has only one registered license in Managed Care Organizations / Health Maintenance Organization, which is considered as her primary health care specialty. Mack, Bethe Ann can be contacted via phone (503) 238-9788.Contact Information
Primary practice address
2625 Se Hawthorne Blvd
Portland OR 97214-2941
Phone: (503) 238-9788
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Managed Care Organizations / Health Maintenance Organization | 302R00000X | 11341 | Oregon |
Profile Details
| NPI number | 1033236922 |
|---|---|
| LBN Legal business name | Mack, Bethe Ann |
| Credentials | LMT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 23rd, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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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