St Amand, Michael Anthony

St Amand, Michael Anthony is an individual health care provider with primary practice located at 5050 Ne Hoyt St Ste 651 , Portland OR 97213-2954. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. St Amand, Michael Anthony can be contacted via phone (503) 935-8700.

Contact Information

Primary practice address
5050 Ne Hoyt St Ste 651 Portland OR 97213-2954
Phone: (503) 935-8700
Fax: (503) 935-8701
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA213270 Oregon

Profile Details

NPI number 1023508751
LBN Legal business name St Amand, Michael Anthony
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2018
Last updated Dec 7th, 2023 - about 2 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 1023508751 NPPES
Washington MEDICAID 2222166
Washington MEDICAID 500811653

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