Fisk, Brent D

Fisk, Brent D is an individual health care provider with primary practice located at 1003 Providence Dr Ste 110 , Newberg OR 97132-7521. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Fisk, Brent D can be contacted via phone (503) 537-5900.

Contact Information

Primary practice address
1003 Providence Dr Ste 110 Newberg OR 97132-7521
Phone: (503) 537-5900
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 103TC0700X 3093 Oregon

Profile Details

NPI number 1124418561
LBN Legal business name Fisk, Brent D
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2015
Last updated Oct 6th, 2020 - about 4 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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