Polson, Michol

Polson, Michol is an sole proprietor health care provider with primary practice located at 501 Main St, Suite 207 , Klamath Falls OR 97601. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Polson, Michol can be contacted via phone (541) 223-9417.

Contact Information

Primary practice address
501 Main St, Suite 207 Klamath Falls OR 97601
Phone: (541) 223-9417
Fax: (541) 882-2583
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFT000940 Georgia
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 845 Tennessee
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X T0815 Oregon

Profile Details

NPI number 1427057579
LBN Legal business name Polson, Michol
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2005
Last updated Mar 11th, 2022 - about 4 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 1427057579 NPPES
Oregon MEDICAID 500649144

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