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Contact Information

MICHAEL R ODLE, SCHOOL PSYCHOLOGIST
36716 OAK POINT RD
SPRINGFIELD, OR97478
 Phone: 541-255-8463
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

School

103TS0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MICHAEL R ODLE · (Male)

NPI # 1831691310
Status Active
Credentials SCHOOL PSYCHOLOGIST
Entity Individual
Enumeration date 03/01/2018
Last updated 03/01/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • OR License # 10478961
  • OR Other 22667 ACE-AMERICAN INSURANCE COMPANY
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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