Powell, Theo Herbert
Powell, Theo Herbert is an individual health care provider with primary practice located at 495 Sw Ramsey Ave , Grants Pass OR 97527. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Powell, Theo Herbert can be contacted via phone (541) 476-6644.Contact Information
Primary practice address
495 Sw Ramsey Ave
Grants Pass OR 97527
Phone: (541) 476-6644
Fax: (541) 472-5673
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD11637 | Oregon |
Profile Details
| NPI number | 1164427951 |
|---|---|
| LBN Legal business name | Powell, Theo Herbert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2005 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164427951 | NPPES |
| Oregon | MEDICAID | 074527 |
Popular Providers
-
Martin, Aaron D
520 Sw Ramsey Ave. Suite 205, Grants Pass OR 97527 -
White, Patrick W.
5700 Monroe St Unit 101 , Sylvania OH 43560-2779 -
Frost, Megan M
520 Sw Ramsey Ave Ste 205 , Grants Pass OR 97527-5863 -
Fawcett, Cory
1600 Nw 6Th St North Suite, Grants Pass OR 97526-1094 -
Johnson, William Kent
11221 Katy Fwy Ste 115 , Houston TX 77079-2105 -
Yang, Estin
537 Union Ave , Grants Pass OR 97527-5543 -
Kinney, Michael R
1700 W Central Rd Ste 50 , Arlington Heights IL 60005-2477 -
Greive, Melissa M
1600 Nw 6Th St , Grants Pass OR 97526-1094