Sandoval, Brian E

Sandoval, Brian E is an individual health care provider with primary practice located at 10330 Se 32Nd Ave Suite 205, Milwaukie OR 97222-6587. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Sandoval, Brian E can be contacted via phone (503) 513-8950.

Contact Information

Primary practice address
10330 Se 32Nd Ave Suite 205 Milwaukie OR 97222-6587
Phone: (503) 513-8950
Fax: (503) 513-8951
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2153 Oregon

Profile Details

NPI number 1356675953
LBN Legal business name Sandoval, Brian E
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2009
Last updated Apr 12th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1356675953 NPPES
Oregon MEDICAID 500640102

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