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Contact Information

PRINCE R AGBONZE
2817 NE 156TH AVE
PORTLAND, OR97230-5101
 Phone: 503-891-4266
 Fax: 503-284-4067
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health Aide

374U00000X
Indicates primary specialty

NPI Profile & details for PRINCE R AGBONZE · (Male)

NPI Number 1326364894
Status Active
Credentials
Entity Individual
Enumeration date 04/08/2010
Last updated 04/08/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • OR License # 374U00000X
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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