Kaiser, Alan P

Kaiser, Alan P is an sole proprietor health care provider with primary practice located at 1340 Sw Bertha Blvd Suite 101, Portland OR 97219-2039. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Kaiser, Alan P can be contacted via phone (503) 245-5356.

Contact Information

Primary practice address
1340 Sw Bertha Blvd Suite 101 Portland OR 97219-2039
Phone: (503) 245-5356
Fax: (503) 245-5393
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 001741 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X NP 091007250N6 Oregon

Profile Details

NPI number 1013005792
LBN Legal business name Kaiser, Alan P
Credentials PMHNP, LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 2006
Last updated Aug 3rd, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1013005792 NPPES
Oregon MEDICAID 077938

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