Bird, Gabriel Jackson

Bird, Gabriel Jackson is an individual health care provider with primary practice located at 7800 Sw Barbur Blvd Unit 2 , Portland OR 97219-2823. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Bird, Gabriel Jackson can be contacted via phone (888) 805-0759.

Contact Information

Primary practice address
7800 Sw Barbur Blvd Unit 2 Portland OR 97219-2823
Phone: (888) 805-0759
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1770112229
LBN Legal business name Bird, Gabriel Jackson
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2020
Last updated Apr 6th, 2020 - about 5 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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