Bort, Alison
Bort, Alison is an sole proprietor health care provider with primary practice located at 998 Library Ct , Oregon City OR 97045-4041. She recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Bort, Alison can be contacted via phone (503) 655-8401.Contact Information
Primary practice address
998 Library Ct
Oregon City OR 97045-4041
Phone: (503) 655-8401
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 2664 | Oregon |
Profile Details
| NPI number | 1043469679 |
|---|---|
| LBN Legal business name | Bort, Alison |
| Credentials | PH.D., J.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 18th, 2008 |
| Last updated | Apr 11th, 2017 - about 8 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 | 1043469679 | NPPES |
| California | Other | 11634 | MEDI-CAL EPSDT |
| California | Other | 7589 | MEDI-CAL EPSDT |
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