Forks, Brandy

Forks, Brandy is an individual health care provider with primary practice located at 14600 Nw Cornell Rd , Portland OR 97229-5442. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Forks, Brandy can be contacted via phone (503) 335-8125.

Contact Information

Primary practice address
14600 Nw Cornell Rd Portland OR 97229-5442
Phone: (503) 335-8125
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1689060659
LBN Legal business name Forks, Brandy
Credentials CRM
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2015
Last updated Apr 7th, 2015 - about 9 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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