Bolton, Daniel
Bolton, Daniel is an individual health care provider with primary practice located at 7759 Se 72Nd Ave , Portland OR 97206-7921. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Music Therapist, which is considered as his primary health care specialty. Bolton, Daniel can be contacted via phone (503) 788-4500.Contact Information
Primary practice address
7759 Se 72Nd Ave
Portland OR 97206-7921
Phone: (503) 788-4500
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Music Therapist | 225A00000X |
Profile Details
NPI number | 1720674518 |
---|---|
LBN Legal business name | Bolton, Daniel |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 15th, 2020 |
Last updated | Dec 15th, 2020 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1720674518 | NPPES |
Other | 11353 | CERTIFICATION BOARD FOR MUSIC THERAPISTS | |
Other | MT-T-10176428 | CERTIFICATION BOARD FOR MUSIC THERAPISTS |
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