Fellin, Samuel J
Fellin, Samuel J is an individual health care provider with primary practice located at 12442 Sw Scholls Ferry Rd Suite 106, Tigard OR 97223-3396. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Fellin, Samuel J can be contacted via phone (503) 216-9200.Contact Information
Primary practice address
12442 Sw Scholls Ferry Rd Suite 106
Tigard OR 97223-3396
Phone: (503) 216-9200
Fax: (503) 212-6922
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | DO16616 | Oregon |
Profile Details
| NPI number | 1265463996 |
|---|---|
| LBN Legal business name | Fellin, Samuel J |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2006 |
| Last updated | Oct 15th, 2020 - about 6 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 | 1265463996 | NPPES |
| Oregon | Other | 110101988 | RR MEDICARE |
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