Safko, Michael Stephen

Safko, Michael Stephen is an sole proprietor health care provider with primary practice located at 777 Ne 7Th St , Grants Pass OR 97526-1632. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Safko, Michael Stephen can be contacted via phone (541) 471-8840.

Contact Information

Primary practice address
777 Ne 7Th St Grants Pass OR 97526-1632
Phone: (541) 471-8840
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1870 Oregon
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1870 Oregon
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 1870 Oregon

Profile Details

NPI number 1144493560
LBN Legal business name Safko, Michael Stephen
Credentials PSY.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 7th, 2008
Last updated Feb 19th, 2013 - about 12 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 1144493560 NPPES
Oregon MEDICAID 231818

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