Stewart, Phyllis
Stewart, Phyllis is an individual health care provider with primary practice located at 1776 Sw Madison St , Portland OR 97205-1715. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Stewart, Phyllis can be contacted via phone (503) 224-1044.Contact Information
Primary practice address
1776 Sw Madison St
Portland OR 97205-1715
Phone: (503) 224-1044
Fax: (503) 621-2235
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 94-10-133 | Oregon |
Profile Details
| NPI number | 1972582666 |
|---|---|
| LBN Legal business name | Stewart, Phyllis |
| Credentials | CADCII |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1972582666 | NPPES |
| Oregon | MEDICAID | 126370 |
Popular Providers
-
Gruetter, Karen Ellen
4531 Se Belmont St Room 308, Portland OR 97215-1675 -
Bigboy, Leroy G
1631 Sw Columbia St , Portland OR 97201-6025 -
Hannibal, George Ivar
1419 Ne 69Th Ave , Portland OR 97213-5301 -
Louise, Linda
12360 E Burnside St , Portland OR 97233-1042 -
Lacombe, Peggy
1631 Sw Columbia St , Portland OR 97201-6025 -
Morais, Carol Jean
2700 Se 26Th Ave Ste C, Portland OR 97202-1288 -
Kohler, David John
2415 Se 43Rd Ave Suite 100, Portland OR 97206-1600 -
White Elk, Andulia
1631 Sw Columbia St , Portland OR 97201-6025