Myklebust, Monica K

Myklebust, Monica K is an individual health care provider with primary practice located at 16180 Se Sunnyside Rd Suite 102, Happy Valley OR 97015-6301. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Myklebust, Monica K can be contacted via phone (503) 582-4900.

Contact Information

Primary practice address
16180 Se Sunnyside Rd Suite 102 Happy Valley OR 97015-6301
Phone: (503) 582-4900
Fax: (503) 582-4999
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301081301 Michigan
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD28074 Oregon

Profile Details

NPI number 1811086762
LBN Legal business name Myklebust, Monica K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Mar 22nd, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1811086762 NPPES
Oregon MEDICAID 242654
Oregon MEDICAID 4505746

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