Street, Charles William
Street, Charles William is an sole proprietor health care provider with primary practice located at 1060 Sw 170Th Ave Unit 200 , Beaverton OR 97006-8089. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Street, Charles William can be contacted via phone (541) 778-0705.Contact Information
Primary practice address
1060 Sw 170Th Ave Unit 200
Beaverton OR 97006-8089
Phone: (541) 778-0705
Fax: (541) 608-3911
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 1002 | Oregon |
Profile Details
| NPI number | 1346464419 |
|---|---|
| LBN Legal business name | Street, Charles William |
| Credentials | MASSAGE THERAPIST |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 12th, 2007 |
| 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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