Brogan, Mark
Brogan, Mark is an individual health care provider with primary practice located at 5408 Ne 29Th Ave , Portland OR 97211-6244. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Brogan, Mark can be contacted via phone (503) 686-1786.Contact Information
Primary practice address
5408 Ne 29Th Ave
Portland OR 97211-6244
Phone: (503) 686-1786
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1386236388 |
|---|---|
| LBN Legal business name | Brogan, Mark |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 10th, 2021 |
| Last updated | Oct 15th, 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.
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