Fuller, Sage Maetta
Fuller, Sage Maetta is an individual health care provider with primary practice located at 610 High Street , Oregon City OR 97045. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Fuller, Sage Maetta can be contacted via phone (503) 657-8903.Contact Information
Primary practice address
610 High Street
Oregon City OR 97045
Phone: (503) 657-8903
Fax: (503) 650-4302
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | Oregon |
Profile Details
| NPI number | 1477602431 |
|---|---|
| LBN Legal business name | Fuller, Sage Maetta |
| Credentials | MOT OTRL |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477602431 | NPPES |
| Oregon | MEDICAID | 231089 | |
| Oregon | MEDICAID | 8397929 |
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