Beach, Mark

Beach, Mark is an sole proprietor health care provider with primary practice located at 3737 Portland Rd Ne , Salem OR 97301-0311. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Beach, Mark can be contacted via phone (503) 390-2600.

Contact Information

Primary practice address
3737 Portland Rd Ne Salem OR 97301-0311
Phone: (503) 390-2600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1669964680
LBN Legal business name Beach, Mark
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 5th, 2018
Last updated Jun 5th, 2018 - about 7 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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