Podett, Paul
Podett, Paul is an sole proprietor health care provider with primary practice located at 24900 Se Stark St Ste 205 , Gresham OR 97030-3382. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Podett, Paul can be contacted via phone (503) 665-1010.Contact Information
Primary practice address
24900 Se Stark St Ste 205
Gresham OR 97030-3382
Phone: (503) 665-1010
Fax: (503) 665-1023
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD18120 | Oregon |
Profile Details
| NPI number | 1184783094 |
|---|---|
| LBN Legal business name | Podett, Paul |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 6th, 2006 |
| Last updated | Nov 4th, 2014 - about 11 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 | 1184783094 | NPPES |
| Oregon | MEDICAID | 120977 |
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