Obadiah, Joseph Michael

Obadiah, Joseph Michael is an individual health care provider with primary practice located at 5330 Ne Glisan St Suite 200, Portland OR 97213-3069. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Obadiah, Joseph Michael can be contacted via phone (503) 215-9080.

Contact Information

Primary practice address
5330 Ne Glisan St Suite 200 Portland OR 97213-3069
Phone: (503) 215-9080
Fax: (503) 215-9099
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD00047161 Washington
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 2003010752 Missouri
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD26968 Oregon

Profile Details

NPI number 1699818120
LBN Legal business name Obadiah, Joseph Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2007
Last updated Mar 22nd, 2021 - about 5 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 1699818120 NPPES
Oregon Other H94431 UPIN
Oregon Other P00973909 UPIN
Oregon MEDICAID 028538 UPIN

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