Davis, Mike Stuart

Davis, Mike Stuart is an sole proprietor health care provider with primary practice located at 5415 Sw Westgate Dr Ste L3 , Portland OR 97221-2409. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Davis, Mike Stuart can be contacted via phone (503) 297-3003.

Contact Information

Primary practice address
5415 Sw Westgate Dr Ste L3 Portland OR 97221-2409
Phone: (503) 297-3003
Fax: (503) 297-9414
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 1353 Montana
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 8463 Oregon

Profile Details

NPI number 1659578557
LBN Legal business name Davis, Mike Stuart
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 3rd, 2007
Last updated Jul 8th, 2007 - about 18 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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