Betts, Jay Gordon

Betts, Jay Gordon is an sole proprietor health care provider with primary practice located at 10365 Se Sunnyside Rd Suite 150, Clackamas OR 97015-5741. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Betts, Jay Gordon can be contacted via phone (503) 698-2300.

Contact Information

Primary practice address
10365 Se Sunnyside Rd Suite 150 Clackamas OR 97015-5741
Phone: (503) 698-2300
Fax: (503) 698-2308
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X DO07540 Oregon

Profile Details

NPI number 1265518666
LBN Legal business name Betts, Jay Gordon
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 27th, 2006
Last updated Jul 8th, 2007 - about 19 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 1265518666 NPPES
Oregon MEDICAID 067231

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