Oxentenko, Michael
Oxentenko, Michael is an sole proprietor health care provider with primary practice located at 5905 Se Powell Valley Rd , Gresham OR 97080-1919. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Oxentenko, Michael can be contacted via phone (503) 665-1151.Contact Information
Primary practice address
5905 Se Powell Valley Rd
Gresham OR 97080-1919
Phone: (503) 665-1151
Fax: (503) 669-1986
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1040 | Oregon |
Profile Details
| NPI number | 1558487116 |
|---|---|
| LBN Legal business name | Oxentenko, Michael |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 22nd, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1558487116 | NPPES |
| Oregon | MEDICAID | 025176 |
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