Gorton, Michelle Lynn

Gorton, Michelle Lynn is an individual health care provider with primary practice located at 2500 W A St Suite 201, Moscow ID 83843-6000. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, which is considered as her primary health care specialty. Gorton, Michelle Lynn can be contacted via phone (208) 883-2828.

Contact Information

Primary practice address
2500 W A St Suite 201 Moscow ID 83843-6000
Phone: (208) 883-2828
Fax: (208) 882-2179
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Technologist 246ZS0410X ST00003279 Washington

Profile Details

NPI number 1245518000
LBN Legal business name Gorton, Michelle Lynn
Credentials Certified Surgical Technologist (CST)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2011
Last updated Jul 28th, 2011 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1245518000 NPPES
Washington Other ST00003279 LICENSE

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