Colwell, Wayne Ellsworth
Colwell, Wayne Ellsworth is an sole proprietor health care provider with primary practice located at 4900 Sw Griffith Dr Suite 261, Beaverton OR 97005-5607. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Colwell, Wayne Ellsworth can be contacted via phone (503) 526-1949.Contact Information
Primary practice address
4900 Sw Griffith Dr Suite 261
Beaverton OR 97005-5607
Phone: (503) 526-1949
Fax: (503) 627-9145
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 705 | Oregon |
Profile Details
| NPI number | 1780808444 |
|---|---|
| LBN Legal business name | Colwell, Wayne Ellsworth |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 12th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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