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Individual

SUSAN M BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRM, CADC-R

Contact information

Practice address
134 SE 5TH AVE STE C, HILLSBORO, OR 97123-4095
(503) 543-6100
Mailing address
PO BOX 764, SHERWOOD, OR 97140-0764
(503) 984-1979

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
20-CRM-164
OR
175T00000X
Peer Specialist
Primary
20-CRM-164
OR

Other

Enumeration date
07/28/2021
Last updated
07/28/2021
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