| Sunrise Aba Of Oregon Llc | |
|
8152 Sw Hall Blvd # 1090 Beaverton OR 97008-6415 | |
| (628) 250-7500 | |
| Not Available |
| Full Name | Sunrise Aba Of Oregon Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 8152 Sw Hall Blvd # 1090, Beaverton, Oregon |
| Authorized Official Name and Position | Brady Keith (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 7077999527 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunrise Aba Of Oregon Llc 505 San Marin Dr Ste 100b Novato CA 94945-1309 Ph: () - | Sunrise Aba Of Oregon Llc 8152 Sw Hall Blvd # 1090 Beaverton OR 97008-6415 Ph: (628) 250-7500 |
| NPI Number | 1851026892 |
|---|---|
| Provider Enumeration Date | 07/22/2022 |
| Last Update Date | 08/16/2022 |
| Certification Date | 08/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851026892 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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