Coussens, Mark A
Coussens, Mark A is an individual health care provider with primary practice located at 433 Se Baseline St , Hillsboro OR 97123. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Coussens, Mark A can be contacted via phone (503) 648-4431.Contact Information
Primary practice address
433 Se Baseline St
Hillsboro OR 97123
Phone: (503) 648-4431
Fax: (503) 640-0896
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 5156 | Oregon |
Profile Details
| NPI number | 1205847563 |
|---|---|
| LBN Legal business name | Coussens, Mark A |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 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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