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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 17 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 1558487116 NPPES
Oregon MEDICAID 025176

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