Individual
MRS. BRIDGET ANN BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2901 E BURNSIDE ST, PORTLAND, OR 97214-1831
(503) 238-5203
(503) 238-5202
Mailing address
9730 SW EAGLE CT, BEAVERTON, OR 97008-6610
(503) 360-2835
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L4511
OR
Other
Enumeration date
07/13/2006
Last updated
09/23/2011
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