Harrison, Charles Way
Harrison, Charles Way is an sole proprietor health care provider with primary practice located at 1210 Se Oak St , Portland OR 97214-1427. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Harrison, Charles Way can be contacted via phone (503) 975-0014.Contact Information
Primary practice address
1210 Se Oak St
Portland OR 97214-1427
Phone: (503) 975-0014
Fax: (503) 283-7085
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1148 | Oregon |
Profile Details
| NPI number | 1437131646 |
|---|---|
| LBN Legal business name | Harrison, Charles Way |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 15th, 2005 |
| Last updated | Jul 23rd, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437131646 | NPPES |
| Oregon | MEDICAID | 500612148 |
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