Brewster, Randall Princeton
Brewster, Randall Princeton is an individual health care provider with primary practice located at 10564 Se Washington St , Portland OR 97216-2809. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Brewster, Randall Princeton can be contacted via phone (971) 325-6378.Contact Information
Primary practice address
10564 Se Washington St
Portland OR 97216-2809
Phone: (971) 325-6378
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X | Oregon |
Profile Details
| NPI number | 1295327245 |
|---|---|
| LBN Legal business name | Brewster, Randall Princeton |
| Credentials | CRM, PSS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 10th, 2021 |
| Last updated | Feb 10th, 2021 - 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 | 1295327245 | NPPES |
| Oregon | Other | 21-CRM-360 | MHACBO |
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