Chambers, Brooke Breaux
Chambers, Brooke Breaux is an individual health care provider with primary practice located at 7705 Se 66Th Ave , Portland OR 97206-9613. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Chambers, Brooke Breaux can be contacted via phone (225) 278-4802.Contact Information
Primary practice address
7705 Se 66Th Ave
Portland OR 97206-9613
Phone: (225) 278-4802
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1558917294 |
|---|---|
| LBN Legal business name | Chambers, Brooke Breaux |
| Credentials | B.A., M.A. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2019 |
| Last updated | Aug 16th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558917294 | NPPES |
| Oregon | MEDICAID | HK001N6W |
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