Phillips, Matt Glenn

Phillips, Matt Glenn is an sole proprietor health care provider with primary practice located at 509 Ne Alberta St , Portland OR 97211-3976. He recently has only one registered license in Nursing Service Related Providers / Adult Companion, which is considered as his primary health care specialty. Phillips, Matt Glenn can be contacted via phone (503) 249-7767.

Contact Information

Primary practice address
509 Ne Alberta St Portland OR 97211-3976
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Adult Companion 372600000X

Profile Details

NPI number 1992979942
LBN Legal business name Phillips, Matt Glenn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 21st, 2008
Last updated Apr 21st, 2008 - about 16 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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