Vanallen, Michael R
Vanallen, Michael R is an sole proprietor health care provider with primary practice located at 19255 Sw 65Th Ave Suite 210, Tualatin OR 97062-7451. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery of the Hand. Allopathic & Osteopathic Physicians / Surgery of the Hand is his primary health care specialty. Vanallen, Michael R can be contacted via phone (503) 692-8907.Contact Information
Primary practice address
19255 Sw 65Th Ave Suite 210
Tualatin OR 97062-7451
Phone: (503) 692-8907
Fax: (503) 612-0524
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MD15401 | Oregon |
| Allopathic & Osteopathic Physicians / Surgery of the Hand | 2086S0105X | MD15401 | Oregon |
Profile Details
| NPI number | 1912906405 |
|---|---|
| LBN Legal business name | Vanallen, Michael R |
| Credentials | M D P C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 18th, 2005 |
| Last updated | Aug 20th, 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 | 1912906405 | NPPES |
| Oregon | Other | 93-1209679 | MEDICARE |
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