Braxton, Dorothea
Braxton, Dorothea is an individual health care provider with primary practice located at 3415 Se Powell Blvd , Portland OR 97202-3371. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent, which is considered as her primary health care specialty. Braxton, Dorothea can be contacted via phone (503) 813-7727.Contact Information
Primary practice address
3415 Se Powell Blvd
Portland OR 97202-3371
Phone: (503) 813-7727
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent | 163WP0807X | 201040116RN | Oregon |
Profile Details
| NPI number | 1538433008 |
|---|---|
| LBN Legal business name | Braxton, Dorothea |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2012 |
| Last updated | Mar 1st, 2012 - about 14 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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