Rettler, Shamus Micheal
Rettler, Shamus Micheal is an sole proprietor health care provider with primary practice located at 30 Ne Martin Luther King Blvd , Portland OR 97232-2941. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. Rettler, Shamus Micheal can be contacted via phone (503) 232-1099.Contact Information
Primary practice address
30 Ne Martin Luther King Blvd
Portland OR 97232-2941
Phone: (503) 232-1099
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | Florida | |
| Other Service Providers / Specialist | 174400000X |
Profile Details
| NPI number | 1881121911 |
|---|---|
| LBN Legal business name | Rettler, Shamus Micheal |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 19th, 2017 |
| Last updated | Feb 12th, 2021 - about 3 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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