Brazil, Patricia Jean

Brazil, Patricia Jean is an sole proprietor health care provider with primary practice located at 506 Sw 6Th Ave Suite 602, Portland OR 97204-1533. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Brazil, Patricia Jean can be contacted via phone (503) 222-5563.

Contact Information

Primary practice address
506 Sw 6Th Ave Suite 602 Portland OR 97204-1533
Phone: (503) 222-5563
Fax: (503) 222-5564
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 1257 Oregon
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1257 Oregon

Profile Details

NPI number 1457423527
LBN Legal business name Brazil, Patricia Jean
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 14th, 2006
Last updated Jun 6th, 2008 - about 17 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 1457423527 NPPES
Oregon Other 085287 OMAP

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