Branch, Mitchell S
Branch, Mitchell S is an sole proprietor health care provider with primary practice located at 1817 Ne 6Th Ave , Portland OR 97212-3960. He recently has only one registered license in Ambulatory Health Care Facilities / Community Health, which is considered as his primary health care specialty. Branch, Mitchell S can be contacted via phone (503) 719-7985.Contact Information
Primary practice address
1817 Ne 6Th Ave
Portland OR 97212-3960
Phone: (503) 719-7985
Fax: (503) 994-5262
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Community Health | 261QC1500X | 22-CRM-1540 | Oregon |
Profile Details
| NPI number | 1063128916 |
|---|---|
| LBN Legal business name | Branch, Mitchell S |
| Credentials | CRM |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 24th, 2023 |
| Last updated | Jan 24th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063128916 | NPPES |
| Oregon | MEDICAID | 999999 |
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