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Contact Information

STEVEN W MIKALSON, LMT
4004 SW KELLY AVE
SUITE 204
PORTLAND, OR97239-4389
 Phone: 503-241-4757
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neuromuscular Medicine

2081N0008X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for STEVEN W MIKALSON · (Male)

NPI # 1851783252
Status Active
Credentials LMT (Licensed Massage Therapist)
Entity Individual
Enumeration date 02/23/2015
Last updated 02/23/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • OR License # 4298
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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