Carrello, Patrice Deidre

Carrello, Patrice Deidre is an individual health care provider with primary practice located at 2354 Se 59Th Ave , Portland OR 97215-4018. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Carrello, Patrice Deidre can be contacted via phone (503) 232-3377.

Contact Information

Primary practice address
2354 Se 59Th Ave Portland OR 97215-4018
Phone: (503) 232-3377
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1626 Oregon

Profile Details

NPI number 1437215712
LBN Legal business name Carrello, Patrice Deidre
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2006
Last updated Jun 25th, 2009 - about 17 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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