Vanallen, Michael R

Vanallen, Michael R is an sole proprietor health care provider with primary practice located at 19255 Sw 65Th Ave Suite 210, Tualatin OR 97062-7451. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery of the Hand. Allopathic & Osteopathic Physicians / Surgery of the Hand is his primary health care specialty. Vanallen, Michael R can be contacted via phone (503) 692-8907.

Contact Information

Primary practice address
19255 Sw 65Th Ave Suite 210 Tualatin OR 97062-7451
Fax: (503) 612-0524
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD15401 Oregon
Allopathic & Osteopathic Physicians / Surgery of the Hand 2086S0105X MD15401 Oregon

Profile Details

NPI number 1912906405
LBN Legal business name Vanallen, Michael R
Credentials M D P C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2005
Last updated Aug 20th, 2019 - about 5 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 1912906405 NPPES
Oregon Other 93-1209679 MEDICARE

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