Mcanulty, John
Mcanulty, John is an individual health care provider with primary practice located at 1040 Nw 22Nd Ave, Suite 660 , Portland OR 97210. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Mcanulty, John can be contacted via phone (503) 413-7162.Contact Information
Primary practice address
1040 Nw 22Nd Ave, Suite 660
Portland OR 97210
Phone: (503) 413-7162
Fax: (503) 413-7148
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD09170 | Oregon |
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 9170 | Oregon |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD09170 | Oregon |
Profile Details
| NPI number | 1518993492 |
|---|---|
| LBN Legal business name | Mcanulty, John |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2006 |
| Last updated | Jun 10th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518993492 | NPPES |
| Oregon | MEDICAID | 125849 |
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