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Contact Information

DANIEL BIRT, MMT, MT-BC/L, QMHP
113 N ELM ST
CANBY, OR97013-3519
 Phone: 503-372-5147
 Fax: 503-650-4302
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Music Therapist

225A00000X
Indicates primary specialty

NPI Profile & details for DANIEL BIRT · (Male)

NPI # 1548649452
Status Active
Credentials MMT, MT-BC/L, QMHP
Entity Individual
Enumeration date 05/26/2015
Last updated 05/26/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • OR License # 10186042
  • OR License # 21-QMHP-R-0771
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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