Fukuda, Derrin Yoshio Kilipaki
Fukuda, Derrin Yoshio Kilipaki is an sole proprietor health care provider with primary practice located at 516 Se Morrison St Ste 400 , Portland OR 97214-2344. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as his primary health care specialty. Fukuda, Derrin Yoshio Kilipaki can be contacted via phone (971) 242-8894.Contact Information
Primary practice address
516 Se Morrison St Ste 400
Portland OR 97214-2344
Phone: (971) 242-8894
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 2399 | Oregon |
Profile Details
| NPI number | 1962781542 |
|---|---|
| LBN Legal business name | Fukuda, Derrin Yoshio Kilipaki |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 12th, 2011 |
| Last updated | Sep 30th, 2016 - 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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