Brasington, Glenn Taylor
Brasington, Glenn Taylor is an sole proprietor health care provider with primary practice located at 429 N Water St , Silverton OR 97381-1645. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Brasington, Glenn Taylor can be contacted via phone (503) 310-9157.Contact Information
Primary practice address
429 N Water St
Silverton OR 97381-1645
Phone: (503) 310-9157
Fax: (503) 873-6340
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 856 | Oregon |
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 211 | Hawaii |
Profile Details
| NPI number | 1780697144 |
|---|---|
| LBN Legal business name | Brasington, Glenn Taylor |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 15th, 2006 |
| Last updated | Jul 14th, 2009 - about 15 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 | 1780697144 | NPPES |
| Oregon | Other | R000TCHMF | MEDICARE-TYPE UNSPECIFIED |
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