Burks, Derek
Burks, Derek is an sole proprietor health care provider with primary practice located at 3710 Sw Us Veterans Hospital Rd , Portland OR 97239-2964. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Burks, Derek can be contacted via phone (503) 220-8262.Contact Information
Primary practice address
3710 Sw Us Veterans Hospital Rd
Portland OR 97239-2964
Phone: (503) 220-8262
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY60123123 | Washington |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 2666 | Oregon |
Profile Details
| NPI number | 1033430830 |
|---|---|
| LBN Legal business name | Burks, Derek |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 15th, 2010 |
| Last updated | Jun 2nd, 2016 - about 9 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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