Patricia Jean Brazil in Portland - Clinical Neuropsychologist

Patricia Jean Brazil - NPI 1457423527

Patricia Jean Brazil is a Clinical Neuropsychologist in Portland, Oregon. Patricia Jean Brazil practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Patricia Jean Brazil is 1457423527. The last update date is 2008-06-06.

Patricia Jean Brazil's current location address is 506 Sw 6th Ave., Portland, Oregon. You can contact this provider via phone number 5032225563 and fax number 5032225564. The mailing address for Patricia Jean Brazil is 506 Sw 6th Ave., Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Patricia Jean Brazil
Address 506 Sw 6th Ave., Portland, Oregon
Phone Number 5032225563
Fax Number 5032225564
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1457423527
Provider Enumeration Date 2006-11-14
Last Updated Date 2008-06-06

Provider Mailing Address Detail

Address 506 Sw 6th Ave.
City Portland
State Oregon (OR)
Post Code 972041526
Phone Number 5032225563
Fax Number 5032225564

Provider's Primary Taxonomy Detail

Speciality Clinical Neuropsychologist
Taxonomy 103G00000X
Licence No 1257
Definition:
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
85287 OR OMAP

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FAQs about Patricia Jean Brazil

What is the unique provider identifier assigned to Patricia Jean Brazil?

The Patricia Jean Brazil has been issued the NPI (National Provider Identifier) 1457423527 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Patricia Jean Brazil's facilities are situated?

The facilities of Patricia Jean Brazil are physically located at the following address: 506 Sw 6Th Ave., Portland, OR, 972041526.

What is Patricia Jean Brazil's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Patricia Jean Brazil is Clinical Neuropsychologist, and the taxonomy code that categorizes this field of expertise is 103G00000X.

When did Patricia Jean Brazil receive its 1457423527 assignment?

The Patricia Jean Brazil was assigned its 1457423527 on 2006-11-14, which is the date when this unique identifier was issued to the organization.

When was the information pertaining to Patricia Jean Brazil most recently updated or revised?

The details related to Patricia Jean Brazil, including its address, specialty, and other relevant information, were last updated or revised on 2008-06-06.

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