Preston, Fawn

Preston, Fawn is an individual health care provider with primary practice located at 17720 Ne Halsey St Ste A , Portland OR 97230-6771. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Preston, Fawn can be contacted via phone (503) 654-7654.

Contact Information

Primary practice address
17720 Ne Halsey St Ste A Portland OR 97230-6771
Phone: (503) 654-7654
Fax: (503) 654-7333
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X THW000003140 Oregon

Profile Details

NPI number 1588035034
LBN Legal business name Preston, Fawn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2015
Last updated Feb 12th, 2024 - about 2 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.

Request for update

Popular Providers