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Contact Information

ABA OF PORTLAND CORP.
11304 SE 35TH AVE
MILWAUKIE, OR97222-6764
 Phone: 786-569-3941
 Fax: 888-391-5328
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
Indicates primary specialty

NPI Profile & details for ABA OF PORTLAND CORP.

NPI # 1336606755
LBN Legal business name ABA OF PORTLAND CORP.
Authorized official IGOR BRUZUAL - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/21/2019
Last updated 02/21/2019 - About 7 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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