My Other Me

LBN: My Other Me
My Other Me is an health care organization with primary practice located at 519 Sw Park Ave Ste 304 , Portland OR 97205-3204. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as the primary health care specialty. My Other Me can be contacted via phone (503) 522-1446, or through Afsari-Howard, Mary via phone (503) 522-1446.

Contact Information

Primary practice address
519 Sw Park Ave Ste 304 Portland OR 97205-3204
Phone: (503) 522-1446
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Afsari-Howard, Mary Doctor of Osteopathy (DO)
Phone: (503) 522-1446

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X

Profile Details

NPI number 1801462080
LBN Legal business name My Other Me
DBA Doing business as
Authorized official Afsari-Howard, Mary Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date May 28th, 2021
Last updated Mar 11th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801462080 NPPES
Oregon MEDICAID 5006254

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