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Individual

MR. RICHARD MARK BRAUCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW, QMHP, CADCI

Contact information

Practice address
58646 MCNULTY WAY, SAINT HELENS, OR 97051-6210
(503) 397-5211
Mailing address
PO BOX 1234, SAINT HELENS, OR 97051-8234
(503) 397-5211

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L6466
OR
171M00000X
Case Manager/Care Coordinator
05-03-03
OR

Other

Enumeration date
02/15/2007
Last updated
04/08/2019
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