Odle, Michael Ryan

Odle, Michael Ryan is an sole proprietor health care provider with primary practice located at 36716 Oak Point Rd , Springfield OR 97478. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Odle, Michael Ryan can be contacted via phone (541) 255-8463.

Contact Information

Primary practice address
36716 Oak Point Rd Springfield OR 97478
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 10478961 Oregon

Profile Details

NPI number 1831691310
LBN Legal business name Odle, Michael Ryan
Credentials SCHOOL PSYCHOLOGIST
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 1st, 2018
Last updated Mar 1st, 2018 - about 8 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 1831691310 NPPES
Oregon Other 22667 ACE-AMERICAN INSURANCE COMPANY

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