Tatum, Kiel Justin

Tatum, Kiel Justin is an individual health care provider with primary practice located at 1825 Ne Glisan St , Portland OR 97232-2844. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Tatum, Kiel Justin can be contacted via phone (503) 963-7676.

Contact Information

Primary practice address
1825 Ne Glisan St Portland OR 97232-2844
Phone: (503) 963-7676
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1609448521
LBN Legal business name Tatum, Kiel Justin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2021
Last updated Jul 12th, 2021 - about 4 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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