Defazio, Vincent Michael

Defazio, Vincent Michael is an individual health care provider with primary practice located at 3415 Se Powell Blvd , Portland OR 97202-3371. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Defazio, Vincent Michael can be contacted via phone (503) 234-9591.

Contact Information

Primary practice address
3415 Se Powell Blvd Portland OR 97202-3371
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X Oregon

Profile Details

NPI number 1508138728
LBN Legal business name Defazio, Vincent Michael
Credentials Master of Education (MED)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2012
Last updated Mar 7th, 2013 - about 9 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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