Everett, Robert Highley
Everett, Robert Highley is an sole proprietor health care provider with primary practice located at 325 Portland Ave , Gladstone OR 97027-2450. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Everett, Robert Highley can be contacted via phone (503) 656-8426.Contact Information
Primary practice address
325 Portland Ave
Gladstone OR 97027-2450
Phone: (503) 656-8426
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | D5777 | Oregon |
Profile Details
| NPI number | 1669583472 |
|---|---|
| LBN Legal business name | Everett, Robert Highley |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669583472 | NPPES |
| Oregon | Other | D5777 | STATE LICENSE NUMBER |
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