Mutie, Florence

Mutie, Florence is an sole proprietor health care provider with primary practice located at 5123 Sw 62Nd Ave , Portland OR 97221-1170. She recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as her primary health care specialty. Mutie, Florence can be contacted via phone (503) 453-2290.

Contact Information

Primary practice address
5123 Sw 62Nd Ave Portland OR 97221-1170
Phone: (503) 453-2290
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1821491853
LBN Legal business name Mutie, Florence
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 5th, 2014
Last updated Oct 5th, 2014 - about 10 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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