St. John, Samuel
St. John, Samuel is an sole proprietor health care provider with primary practice located at 847 Ne 19Th Ave Ste 100 , Portland OR 97232-2684. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. St. John, Samuel can be contacted via phone (503) 238-0769.Contact Information
Primary practice address
847 Ne 19Th Ave Ste 100
Portland OR 97232-2684
Phone: (503) 238-0769
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1972098648 |
|---|---|
| LBN Legal business name | St. John, Samuel |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 26th, 2018 |
| Last updated | Sep 10th, 2019 - about 7 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 | 1972098648 | NPPES |
| Oregon | Other | 19-QMHA-I-01704 | QMHA |
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