Diaz, Bryan Richard

Diaz, Bryan Richard is an sole proprietor health care provider with primary practice located at 6828 Se Holgate Blvd , Portland OR 97206-3504. He recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Recovery Care, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is his primary health care specialty. Diaz, Bryan Richard can be contacted via phone (503) 795-3987.

Contact Information

Primary practice address
6828 Se Holgate Blvd Portland OR 97206-3504
Phone: (503) 795-3987
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Recovery Care 261QR0800X 23-CRM-2748 Oregon
Other Service Providers / Peer Specialist 175T00000X 23-CRM-2748 Oregon

Profile Details

NPI number 1215791876
LBN Legal business name Diaz, Bryan Richard
Credentials CRM
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2024
Last updated Feb 13th, 2024 - about last year

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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