Individual
BRIANT NIERSTEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
2330 NE SISKIYOU ST, PORTLAND, OR 97212-2471
(503) 528-0757
Mailing address
15734 SE WILLS WAY, MILWAUKIE, OR 97267-4274
(503) 407-8650
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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