Stuckey, Marc Frederick
Stuckey, Marc Frederick is an individual health care provider with primary practice located at 328 W Main Street Suite A100, Hillsboro OR 97123. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Stuckey, Marc Frederick can be contacted via phone (503) 313-0395.Contact Information
Primary practice address
328 W Main Street Suite A100
Hillsboro OR 97123
Phone: (503) 313-0395
Fax: (503) 681-4794
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 1549 | Oregon |
Profile Details
| NPI number | 1548312887 |
|---|---|
| LBN Legal business name | Stuckey, Marc Frederick |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548312887 | NPPES |
| Oregon | MEDICAID | 231990 |
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