Lundberg, Daniel

Lundberg, Daniel is an individual health care provider with primary practice located at 125 Ne 102Nd Ave , Portland OR 97220-4166. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Lundberg, Daniel can be contacted via phone (503) 254-6317.

Contact Information

Primary practice address
125 Ne 102Nd Ave Portland OR 97220-4166
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X ABA-IN-10182795 Oregon

Profile Details

NPI number 1972010528
LBN Legal business name Lundberg, Daniel
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2018
Last updated Jan 4th, 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.

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