Gottlob, Marrissa

Gottlob, Marrissa is an individual health care provider with primary practice located at 421 Sw Oak St , Portland OR 97204-1817. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mental Health, which is considered as her primary health care specialty. Gottlob, Marrissa can be contacted via phone (503) 988-3999.

Contact Information

Primary practice address
421 Sw Oak St Portland OR 97204-1817
Phone: (503) 988-3999
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mental Health 225XM0800X

Profile Details

NPI number 1134480593
LBN Legal business name Gottlob, Marrissa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2012
Last updated Jun 1st, 2012 - about 14 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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