Brannon, Jerray Anthony

Brannon, Jerray Anthony is an sole proprietor health care provider with primary practice located at 131 Ne 102Nd Ave , Portland OR 97220-4167. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Brannon, Jerray Anthony can be contacted via phone (503) 253-6754.

Contact Information

Primary practice address
131 Ne 102Nd Ave Portland OR 97220-4167
Phone: (503) 253-6754
Fax: (503) 251-1344
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1801940325
LBN Legal business name Brannon, Jerray Anthony
Credentials BS QMHA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 22nd, 2007
Last updated Jul 8th, 2007 - about 19 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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