Young, Charles Brenton

Young, Charles Brenton is an sole proprietor health care provider with primary practice located at 14195 Sw Millikan Way , Beaverton OR 97005-2307. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Young, Charles Brenton can be contacted via phone (503) 646-5687.

Contact Information

Primary practice address
14195 Sw Millikan Way Beaverton OR 97005-2307
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1760510234
LBN Legal business name Young, Charles Brenton
Credentials QMHP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 28th, 2007
Last updated Jul 8th, 2007 - about 17 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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