Sauser, Mark Jason

Sauser, Mark Jason is an individual health care provider with primary practice located at 173 Ne 102Nd Avenue , Portland OR 97220-4169. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, which is considered as his primary health care specialty. Sauser, Mark Jason can be contacted via phone (503) 252-5100.

Contact Information

Primary practice address
173 Ne 102Nd Avenue Portland OR 97220-4169
Phone: (503) 252-5100
Fax: (503) 253-8086
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist 222Z00000X

Profile Details

NPI number 1629227095
LBN Legal business name Sauser, Mark Jason
Credentials LCPO
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2008
Last updated Feb 16th, 2011 - about 13 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 1629227095 NPPES
Delaware Other CO004701 AMERICAN BOARD FOR CERTIFICATION ORTHTOICS & PROSTHETIC
Delaware MEDICAID 22962 AMERICAN BOARD FOR CERTIFICATION ORTHTOICS & PROSTHETIC

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