William Ahlstrom

Individual provider Active NPI Behavior Technician · Portland, OR

NPI 1134813942 · NPPES record last updated Jun 5, 2023

Key facts

NPI
1134813942
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
1827 NE 44TH Ave Ste 390
Portland, OR 97213-1461
Phone
(503) 963-6494
NPI assigned
Jun 5, 2023
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

1827 NE 44TH Ave Ste 390
Portland, OR 97213-1461

Mailing address

6050 SE Milwaukie Ave
Portland, OR 97202
Phone (916) 500-2993

Other providers in Portland, OR

All providers in Portland, OR · Behavior Technician in Oregon

Sources for this page

Verify at the official NPI Registry.