Brounstein, Dale A
Brounstein, Dale A is an individual health care provider with primary practice located at 8196 Sw Hall Blvd Ste 102A , Beaverton OR 97008-4676. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Brounstein, Dale A can be contacted via phone (503) 639-2300.Contact Information
Primary practice address
8196 Sw Hall Blvd Ste 102A
Beaverton OR 97008-4676
Phone: (503) 639-2300
Fax: (503) 968-1800
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 466 | Washington |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 292 | Oregon |
Profile Details
| NPI number | 1558496836 |
|---|---|
| LBN Legal business name | Brounstein, Dale A |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2007 |
| Last updated | Nov 7th, 2018 - about 8 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 | 1558496836 | NPPES |
| Other | 4100374 | AENTA | |
| Other | 164986 | AENTA |
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