Individual
STEPHANIE BRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5228 NE HOYT ST BLDG B, PORTLAND, OR 97213-3055
(503) 215-6474
(503) 215-6477
Mailing address
5228 NE HOYT ST BLDG B, PORTLAND, OR 97213-3055
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3501
OR
Other
Enumeration date
11/25/2015
Last updated
11/25/2015
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