Bernt, Susan M.

Bernt, Susan M. is an sole proprietor health care provider with primary practice located at 2118 19Th St #19, West Linn OR 97068. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bernt, Susan M. can be contacted via phone (503) 819-7095.

Contact Information

Primary practice address
2118 19Th St #19 West Linn OR 97068
Phone: (503) 819-7095
Fax: (503) 328-7994
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 4288 Oregon
Behavioral Health & Social Service Providers / Clinical 1041C0700X LW60084972 Washington

Profile Details

NPI number 1588700280
LBN Legal business name Bernt, Susan M.
Credentials M.S.W., LCSW, LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 29th, 2007
Last updated Dec 28th, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1588700280 NPPES
Washington MEDICAID 1588700280

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