Marcellus, Michael G.

Marcellus, Michael G. is an individual health care provider with primary practice located at 20660 Sw Marimar St , Beaverton OR 97007-5484. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Emergency Medical Service Providers / Emergency Medical Technician, Basic. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Marcellus, Michael G. can be contacted via phone (503) 704-4217.

Contact Information

Primary practice address
20660 Sw Marimar St Beaverton OR 97007-5484
Phone: (503) 704-4217
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Emergency Medical Service Providers / Emergency Medical Technician, Basic 146N00000X 134555 Oregon

Profile Details

NPI number 1669721270
LBN Legal business name Marcellus, Michael G.
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2012
Last updated May 16th, 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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