Minette, Mary Sara
Minette, Mary Sara is an individual health care provider with primary practice located at 707 Sw Gaines St Pediatric Cardiology, Cdrc-P, Portland OR 97239-2901. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as her primary health care specialty. Minette, Mary Sara can be contacted via phone (503) 494-2192.Contact Information
Primary practice address
707 Sw Gaines St Pediatric Cardiology, Cdrc-P
Portland OR 97239-2901
Phone: (503) 494-2192
Fax: (503) 494-2824
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | MD19772 | Oregon |
Profile Details
| NPI number | 1275548786 |
|---|---|
| LBN Legal business name | Minette, Mary Sara |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Dec 28th, 2011 - about 13 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 | 1275548786 | NPPES |
| Oregon | MEDICAID | 150183 |
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