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Individual

JAMES PAUL BRYANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW, CADC 3

Contact information

Practice address
3550 N INTERSTATE AVE, PORTLAND, OR 97227-1196
(503) 964-0000
Mailing address
6056 SE KNAPP ST, PORTLAND, OR 97206-7546
(503) 577-3701

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
07/17/2009
Last updated
12/17/2021
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