Brinkman, Mary Jean
Brinkman, Mary Jean is an sole proprietor health care provider with primary practice located at 5308 Se Rhone St , Portland OR 97206-2962. She recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as her primary health care specialty. Brinkman, Mary Jean can be contacted via phone (503) 789-7661.Contact Information
Primary practice address
5308 Se Rhone St
Portland OR 97206-2962
Phone: (503) 789-7661
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Acupuncturist | 171100000X | AC153318 | Oregon |
Profile Details
| NPI number | 1356648349 |
|---|---|
| LBN Legal business name | Brinkman, Mary Jean |
| Credentials | Licensed Acupuncturist (LAC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 28th, 2011 |
| Last updated | Dec 2nd, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356648349 | NPPES |
| Oregon | MEDICAID | 500665880 |
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