Yamagata, Glenn

Yamagata, Glenn is an individual health care provider with primary practice located at 8832 Se 16Th Ave , Portland OR 97202-7219. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Yamagata, Glenn can be contacted via phone (503) 486-7377.

Contact Information

Primary practice address
8832 Se 16Th Ave Portland OR 97202-7219
Phone: (503) 486-7377
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1689415374
LBN Legal business name Yamagata, Glenn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2024
Last updated Jun 5th, 2024 - about 2 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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