Grisham, Faith Marie

Grisham, Faith Marie is an sole proprietor health care provider with primary practice located at 1675 Sw Marlow Ave , Portland OR 97225-5104. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Grisham, Faith Marie can be contacted via phone (866) 523-4268.

Contact Information

Primary practice address
1675 Sw Marlow Ave Portland OR 97225-5104
Phone: (866) 523-4268
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1841883956
LBN Legal business name Grisham, Faith Marie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 19th, 2021
Last updated Feb 19th, 2021 - about 3 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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