Brookmyer, Samuel Kevin

Brookmyer, Samuel Kevin is an individual health care provider with primary practice located at 15174 Se Aston Loop , Portland OR 97236-7875. He recently has only one registered license in Behavioral Health & Social Service Providers / Assistant Behavior Analyst, which is considered as his primary health care specialty. Brookmyer, Samuel Kevin can be contacted via phone (503) 701-3371.

Contact Information

Primary practice address
15174 Se Aston Loop Portland OR 97236-7875
Phone: (503) 701-3371
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X

Profile Details

NPI number 1427642644
LBN Legal business name Brookmyer, Samuel Kevin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2021
Last updated Feb 28th, 2021 - about 3 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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