Berthold, Clyde Keith
Berthold, Clyde Keith is an individual health care provider with primary practice located at 5801 Ne Cornelius Pass Rd , Hillsboro OR 97124-9370. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Berthold, Clyde Keith can be contacted via phone (971) 762-1144.Contact Information
Primary practice address
5801 Ne Cornelius Pass Rd
Hillsboro OR 97124-9370
Phone: (971) 762-1144
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | A710535 | Oregon |
Profile Details
| NPI number | 1215588900 |
|---|---|
| LBN Legal business name | Berthold, Clyde Keith |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 24th, 2019 |
| Last updated | Sep 24th, 2019 - about 7 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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