Brooke, Michael
Brooke, Michael is an individual health care provider with primary practice located at 516 Se Morrison St Ste 310, Portland OR 97214-2327. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Brooke, Michael can be contacted via phone (503) 481-0020.Contact Information
Primary practice address
516 Se Morrison St Ste 310
Portland OR 97214-2327
Phone: (503) 481-0020
Fax: (503) 235-0255
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY00003704 | Washington |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1830 | Oregon |
Profile Details
| NPI number | 1275645061 |
|---|---|
| LBN Legal business name | Brooke, Michael |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Aug 18th, 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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