Broyles, Paul Kelsey

Broyles, Paul Kelsey is an individual health care provider with primary practice located at 11211 Se 82Nd Ave Suite 0, Happy Valley OR 97086-7624. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Broyles, Paul Kelsey can be contacted via phone (503) 722-6200.

Contact Information

Primary practice address
11211 Se 82Nd Ave Suite 0 Happy Valley OR 97086-7624
Phone: (503) 722-6200
Fax: (503) 722-6545
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X C1234 Oregon

Profile Details

NPI number 1184965923
LBN Legal business name Broyles, Paul Kelsey
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 4th, 2013
Last updated Mar 4th, 2013 - about 13 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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