Individual
SEAN BANGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1800 NW 169TH PL STE C100, BEAVERTON, OR 97006-7362
(503) 747-2587
Mailing address
1800 NW 169TH PL STE C100, BEAVERTON, OR 97006-7362
(503) 747-2587
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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