Portello, Robert

Portello, Robert is an individual health care provider with primary practice located at 17520 Meridian E Suite F, Puyallup WA 98375-6265. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Portello, Robert can be contacted via phone (253) 864-7595.

Contact Information

Primary practice address
17520 Meridian E Suite F Puyallup WA 98375-6265
Phone: (253) 864-7595
Fax: (253) 864-0457
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MA00014112 Washington

Profile Details

NPI number 1831133099
LBN Legal business name Portello, Robert
Credentials LMP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Jul 8th, 2007 - about 19 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 1831133099 NPPES
Washington Other 7727PO REGENCE BLUESHIELD
Washington Other 8938246 REGENCE BLUESHIELD
Washington Other 142460 REGENCE BLUESHIELD

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