Bruderlin, Fred Mclane

Bruderlin, Fred Mclane is an sole proprietor health care provider with primary practice located at 5211 Ne Glisan St Bldg C , Portland OR 97213-3052. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Bruderlin, Fred Mclane can be contacted via phone (503) 704-6658.

Contact Information

Primary practice address
5211 Ne Glisan St Bldg C Portland OR 97213-3052
Phone: (503) 704-6658
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X Oregon
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1275041436
LBN Legal business name Bruderlin, Fred Mclane
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 22nd, 2018
Last updated Jan 22nd, 2018 - about 7 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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