Page, Michael Gregory
Page, Michael Gregory is an individual health care provider with primary practice located at 2824 Ne Wasco St Suite 230, Portland OR 97232-1772. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Page, Michael Gregory can be contacted via phone (503) 284-5678.Contact Information
Primary practice address
2824 Ne Wasco St Suite 230
Portland OR 97232-1772
Phone: (503) 284-5678
Fax: (503) 284-5556
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | D6914 | Oregon |
Profile Details
| NPI number | 1043422942 |
|---|---|
| LBN Legal business name | Page, Michael Gregory |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043422942 | NPPES |
| Oregon | Other | 072459 | OMAP PROVIDER ID# |
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