Guastadisegni, Paul Edward

Guastadisegni, Paul Edward is an sole proprietor health care provider with primary practice located at 511 Sw 10Th Ave Suite 1115, Portland OR 97205-2732. He recently has 5 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 Child & Adolescent, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Guastadisegni, Paul Edward can be contacted via phone (503) 223-7766.

Contact Information

Primary practice address
511 Sw 10Th Ave Suite 1115 Portland OR 97205-2732
Phone: (503) 223-7766
Fax: (503) 223-8844
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 1307 Oregon
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1307 Oregon
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 1307 Oregon
Behavioral Health & Social Service Providers / Forensic 103TF0200X 1307 Oregon
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X 1307 Oregon

Profile Details

NPI number 1356460901
LBN Legal business name Guastadisegni, Paul Edward
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 28th, 2007
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1356460901 NPPES
Oregon Other M39331 OREGON VENDOR NUMBER
Oregon MEDICAID 159027 OREGON VENDOR NUMBER

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