Individual
RUTH ELLEN BRAUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
66 CLUB ROAD, SUITE NUMBER 120, EUGENE, OR 97401
(541) 393-5983
(541) 393-5984
Mailing address
66 CLUB RD, SUITE NUMBER 120, EUGENE, OR 97401-2420
(541) 393-5983
(541) 393-5984
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2081
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R167888
PTAN
—
Enumeration date
10/16/2006
Last updated
06/08/2015
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