KEN J. BRINKER RN NPI 1831316835

NPI Information

Ken J. Brinker, RN is a health service psychologist in Portland, OR. The provider is a psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). Ken J. Brinker, RN NPI is 1831316835. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

722 NE 162ND AVE
PORTLAND, OR
ZIP 97230-760
Phone: (503) 408-5016

The enumeration date for this NPI number is 4/19/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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