Etta Mae Assuman
Individual provider Active NPI Case Manager/Care Coordinator · Portland, OR
NPI 1508997651 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1508997651
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 2415 SE 43Rd Ave
Portland, OR 97206-1600 - Phone
- (503) 238-0705
- Fax
- (503) 236-7166
- NPI assigned
- Mar 8, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
2415 SE 43Rd Ave
Portland, OR 97206-1600
Mailing address
3273 N Arlington PL
Portland, OR 97217-7201
Phone (503) 283-0894
Other providers in Portland, OR
- Alesya Binti Asri
- Leon Allen Assael
- Arsen Assani
- Emalee Assenberg
- Tami Lynn Assenberg
- Assure Psychiatry Inc
- Assured Pharmacy
- Assured Pharmacy Northwest Inc.
- Asterix Eyewear
- Anunai Raj Asthana
All providers in Portland, OR · Case Manager/Care Coordinator in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.