Bush, Justin William

Bush, Justin William is an sole proprietor health care provider with primary practice located at 2100 Ne Broadway Suite 101, Portland OR 97232-1569. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Bush, Justin William can be contacted via phone (503) 287-2800.

Contact Information

Primary practice address
2100 Ne Broadway Suite 101 Portland OR 97232-1569
Phone: (503) 287-2800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2154 Oregon

Profile Details

NPI number 1356645956
LBN Legal business name Bush, Justin William
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 22nd, 2010
Last updated Feb 26th, 2011 - about 15 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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