Fisher, Martin Brian
Fisher, Martin Brian is an sole proprietor health care provider with primary practice located at 1215 Sw 18Th Ave Suite 4, Portland OR 97205-1711. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Family. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Fisher, Martin Brian can be contacted via phone (503) 318-3236.Contact Information
Primary practice address
1215 Sw 18Th Ave Suite 4
Portland OR 97205-1711
Phone: (503) 318-3236
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 2383 | Oregon |
| Behavioral Health & Social Service Providers / Adult Development & Aging | 103TA0700X | 2383 | Oregon |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 2383 | Oregon |
| Behavioral Health & Social Service Providers / Family | 103TF0000X | 2383 | Oregon |
Profile Details
| NPI number | 1245662741 |
|---|---|
| LBN Legal business name | Fisher, Martin Brian |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 6th, 2013 |
| Last updated | Jul 3rd, 2014 - about 11 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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