Individual
DR. ALLISON BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1130 SW MORRISON ST STE 619, PORTLAND, OR 97205-2217
(503) 894-9630
Mailing address
1130 SW MORRISON ST STE 619, PORTLAND, OR 97205-2217
(503) 894-9630
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2770
OR
103TC2200X
Clinical Child & Adolescent Psychologist
2770
OR
Other
Enumeration date
06/11/2015
Last updated
01/18/2021
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