Michaels, Andrew Jacob
Michaels, Andrew Jacob is an individual health care provider with primary practice located at 501 N Graham Suite 580, Portland OR 97227. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Michaels, Andrew Jacob can be contacted via phone (503) 528-0704.Contact Information
Primary practice address
501 N Graham Suite 580
Portland OR 97227
Phone: (503) 528-0704
Fax: (503) 528-0708
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD20926 | Oregon |
Profile Details
| NPI number | 1326018953 |
|---|---|
| LBN Legal business name | Michaels, Andrew Jacob |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1326018953 | NPPES |
| Oregon | MEDICAID | 151145 |
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