Braxton, Phyllis Michelle
Braxton, Phyllis Michelle is an individual health care provider with primary practice located at 11261 Ne Knott St , Portland OR 97220-1704. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Braxton, Phyllis Michelle can be contacted via phone (503) 253-8883.Contact Information
Primary practice address
11261 Ne Knott St
Portland OR 97220-1704
Phone: (503) 253-8883
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1811034069 |
|---|---|
| LBN Legal business name | Braxton, Phyllis Michelle |
| Credentials | QMHA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 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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